| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,857 |
19,554 |
$1.15M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,922 |
7,921 |
$601K |
| 92202 |
|
12,433 |
12,430 |
$322K |
| 92250 |
|
3,596 |
3,593 |
$162K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,682 |
4,654 |
$130K |
| V2020 |
Frames, purchases |
8,523 |
8,492 |
$74K |
| 68761 |
|
998 |
498 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,341 |
2,669 |
$65K |
| 92226 |
|
3,827 |
3,818 |
$57K |
| 92225 |
|
3,104 |
3,099 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
485 |
$18K |
| 92083 |
|
174 |
173 |
$8K |
| 92015 |
Determination of refractive state |
121 |
121 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
41 |
$2K |
| 92020 |
|
111 |
111 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
54 |
54 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,810 |
2,410 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
26 |
12 |
$205.40 |
| V2755 |
U-v lens, per lens |
2,576 |
1,288 |
$0.00 |
| 2022F |
|
593 |
593 |
$0.00 |