| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,510 |
11,388 |
$462K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,202 |
7,118 |
$295K |
| V2020 |
Frames, purchases |
12,056 |
11,893 |
$218K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,952 |
9,821 |
$188K |
| 92015 |
Determination of refractive state |
21,738 |
21,461 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,664 |
2,610 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,133 |
3,027 |
$132K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,794 |
5,687 |
$108K |
| 92250 |
|
2,701 |
2,639 |
$81K |
| 92083 |
|
1,979 |
1,934 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
853 |
839 |
$46K |
| 92341 |
|
1,898 |
1,874 |
$44K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,321 |
4,223 |
$25K |
| 92133 |
|
1,454 |
1,421 |
$22K |
| 92310 |
|
648 |
643 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
221 |
221 |
$18K |
| V2760 |
Scratch resistant coating, per lens |
1,587 |
1,545 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
493 |
488 |
$15K |
| V2755 |
U-v lens, per lens |
1,764 |
1,722 |
$10K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
79 |
78 |
$10K |
| 76514 |
|
594 |
582 |
$5K |
| 92020 |
|
182 |
177 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$774.15 |
| 2022F |
|
248 |
240 |
$0.00 |
| 3072F |
|
5,068 |
4,971 |
$0.00 |