| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,130 |
5,965 |
$448K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,223 |
3,121 |
$284K |
| V2020 |
Frames, purchases |
8,535 |
8,133 |
$146K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,780 |
5,267 |
$142K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,861 |
6,622 |
$92K |
| 92015 |
Determination of refractive state |
9,247 |
8,839 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,460 |
1,291 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,561 |
1,417 |
$60K |
| 92250 |
|
1,653 |
1,457 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
982 |
923 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
442 |
386 |
$18K |
| 92083 |
|
415 |
370 |
$16K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
859 |
784 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
138 |
135 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
772 |
681 |
$8K |
| 92133 |
|
331 |
300 |
$6K |
| V2799 |
Vision item or service, miscellaneous |
413 |
402 |
$5K |
| 92134 |
|
252 |
227 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
208 |
185 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
41 |
$4K |
| 92273 |
|
57 |
53 |
$4K |
| 92060 |
|
31 |
31 |
$1K |
| 92285 |
|
60 |
53 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$1K |
| 95930 |
|
14 |
13 |
$800.59 |
| 92284 |
|
14 |
12 |
$428.88 |
| G9905 |
Patient not screened for tobacco use |
29 |
27 |
$0.00 |
| 3072F |
|
871 |
772 |
$0.00 |
| 2023F |
|
1,064 |
996 |
$0.00 |