| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18,457 |
18,160 |
$1.19M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17,074 |
17,021 |
$1.02M |
| 92250 |
|
14,909 |
14,213 |
$673K |
| 92083 |
|
11,623 |
11,066 |
$556K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
11,216 |
10,552 |
$445K |
| 92060 |
|
10,177 |
10,100 |
$377K |
| 68761 |
|
4,022 |
2,481 |
$303K |
| V2020 |
Frames, purchases |
22,263 |
22,022 |
$303K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
18,048 |
12,510 |
$277K |
| 92285 |
|
9,794 |
9,601 |
$223K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
6,907 |
4,968 |
$183K |
| 92015 |
Determination of refractive state |
13,322 |
13,206 |
$168K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,279 |
8,252 |
$114K |
| 92133 |
|
3,764 |
3,641 |
$108K |
| 92082 |
|
2,226 |
2,179 |
$99K |
| 68801 |
|
1,665 |
1,145 |
$91K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,193 |
4,176 |
$73K |
| 92341 |
|
3,744 |
3,724 |
$68K |
| 92134 |
|
2,360 |
2,319 |
$65K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,990 |
5,037 |
$50K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,910 |
2,518 |
$49K |
| 92225 |
|
2,272 |
1,481 |
$42K |
| 92020 |
|
2,802 |
2,711 |
$38K |
| 92202 |
|
2,272 |
2,069 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,606 |
3,060 |
$6K |
| V2025 |
Deluxe frame |
118 |
118 |
$6K |
| 92226 |
|
328 |
191 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
34 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
20 |
$1K |
| 92201 |
|
55 |
46 |
$924.51 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
76 |
52 |
$756.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$426.68 |
| 76514 |
|
42 |
42 |
$300.80 |
| 3072F |
|
13 |
12 |
$0.00 |