| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,069 |
818 |
$55K |
| 68761 |
|
980 |
527 |
$42K |
| 83861 |
|
4,315 |
1,720 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
510 |
463 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
370 |
339 |
$30K |
| 92015 |
Determination of refractive state |
1,613 |
1,476 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
549 |
439 |
$23K |
| V2020 |
Frames, purchases |
930 |
862 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
837 |
770 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
146 |
127 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
420 |
273 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
240 |
113 |
$3K |
| 92083 |
|
80 |
80 |
$2K |
| 92283 |
|
63 |
63 |
$1K |
| 92002 |
|
13 |
13 |
$835.68 |
| 92273 |
|
15 |
14 |
$810.83 |
| 92134 |
|
12 |
12 |
$187.44 |
| 2026F |
|
68 |
68 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
116 |
92 |
$0.00 |