| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92286 |
|
4,230 |
4,215 |
$258K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,685 |
5,603 |
$243K |
| 92250 |
|
5,704 |
5,630 |
$223K |
| 92083 |
|
5,161 |
5,065 |
$223K |
| 92285 |
|
4,224 |
4,165 |
$198K |
| 76512 |
|
4,085 |
2,122 |
$152K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,378 |
6,246 |
$146K |
| V2020 |
Frames, purchases |
7,451 |
7,311 |
$145K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,940 |
2,881 |
$127K |
| 68761 |
|
1,694 |
833 |
$96K |
| 92060 |
|
2,837 |
2,823 |
$80K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
982 |
965 |
$33K |
| 92025 |
|
2,140 |
2,121 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,059 |
980 |
$31K |
| 92020 |
|
2,099 |
2,033 |
$18K |
| 76514 |
|
1,824 |
1,733 |
$9K |
| 92133 |
|
253 |
245 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
749 |
721 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 92134 |
|
82 |
80 |
$2K |
| 92015 |
Determination of refractive state |
107 |
107 |
$0.00 |
| 92273 |
|
16 |
16 |
$0.00 |