| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,617 |
3,253 |
$154K |
| 92015 |
Determination of refractive state |
5,712 |
5,077 |
$101K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,059 |
1,769 |
$91K |
| V2025 |
Deluxe frame |
1,580 |
1,479 |
$87K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,213 |
2,801 |
$85K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,588 |
2,302 |
$75K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
819 |
609 |
$37K |
| V2020 |
Frames, purchases |
2,687 |
2,293 |
$31K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
694 |
630 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,292 |
2,051 |
$19K |
| 92341 |
|
386 |
353 |
$11K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
52 |
52 |
$2K |
| 92250 |
|
55 |
55 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
89 |
85 |
$1K |
| 92133 |
|
40 |
40 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
30 |
$961.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$673.10 |