| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
3,952 |
854 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,739 |
1,642 |
$56K |
| 92015 |
Determination of refractive state |
493 |
474 |
$11K |
| V2020 |
Frames, purchases |
225 |
218 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
78 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
29 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
68 |
65 |
$1K |
| V2715 |
Prism, per lens |
82 |
79 |
$87.76 |