| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,183 |
9,003 |
$661K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,965 |
2,906 |
$261K |
| V2020 |
Frames, purchases |
11,623 |
11,249 |
$185K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,147 |
6,948 |
$177K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,043 |
8,813 |
$112K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,515 |
3,426 |
$81K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,134 |
1,071 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
714 |
703 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,194 |
1,155 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
192 |
185 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
159 |
$7K |
| 92015 |
Determination of refractive state |
616 |
598 |
$7K |
| 92341 |
|
88 |
87 |
$1K |
| 3072F |
|
2,623 |
2,517 |
$560.00 |
| V2799 |
Vision item or service, miscellaneous |
32 |
28 |
$378.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$322.76 |
| V2744 |
Tint, photochromatic, per lens |
29 |
26 |
$48.00 |