| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,694 |
2,350 |
$205K |
| 92250 |
|
2,524 |
2,266 |
$122K |
| V2020 |
Frames, purchases |
1,090 |
1,082 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
597 |
585 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
838 |
745 |
$69K |
| 92015 |
Determination of refractive state |
4,130 |
3,485 |
$50K |
| 92025 |
|
1,245 |
1,221 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
869 |
851 |
$22K |
| 92285 |
|
1,289 |
1,128 |
$14K |
| 92273 |
|
84 |
77 |
$8K |
| 92283 |
|
133 |
130 |
$6K |
| 92133 |
|
174 |
149 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
341 |
339 |
$4K |
| 92083 |
|
86 |
80 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
49 |
49 |
$993.72 |
| 76514 |
|
72 |
69 |
$988.46 |
| 92341 |
|
27 |
26 |
$743.01 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
116 |
107 |
$470.05 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
25 |
25 |
$261.58 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
117 |
106 |
$201.65 |
| 99072 |
|
91 |
83 |
$0.00 |