| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,756 |
5,188 |
$167K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,538 |
1,422 |
$133K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,655 |
1,529 |
$113K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,912 |
1,636 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,682 |
2,442 |
$73K |
| 92083 |
|
1,911 |
1,595 |
$69K |
| 92250 |
|
1,885 |
1,528 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,179 |
1,001 |
$57K |
| 92275 |
|
880 |
694 |
$55K |
| 95930 |
|
965 |
767 |
$43K |
| V2020 |
Frames, purchases |
2,385 |
2,174 |
$39K |
| 92285 |
|
1,899 |
957 |
$36K |
| 92273 |
|
490 |
420 |
$35K |
| 99215 |
Prolong outpt/office vis |
463 |
383 |
$32K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
553 |
252 |
$29K |
| 92133 |
|
858 |
695 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
381 |
$16K |
| 92145 |
|
1,972 |
1,604 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
850 |
774 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
674 |
534 |
$9K |
| 0509T |
|
181 |
159 |
$9K |
| 92132 |
|
679 |
553 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
89 |
$9K |
| 76514 |
|
1,222 |
1,006 |
$8K |
| 92060 |
|
229 |
201 |
$8K |
| 92020 |
|
152 |
136 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$1K |
| 92025 |
|
59 |
52 |
$1K |
| 92134 |
|
78 |
51 |
$1K |
| 92310 |
|
12 |
12 |
$681.23 |
| 2023F |
|
43 |
41 |
$0.00 |