| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,314 |
4,255 |
$203K |
| 92133 |
|
2,306 |
1,537 |
$75K |
| 92250 |
|
1,582 |
1,536 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
667 |
648 |
$51K |
| 92226 |
|
2,780 |
1,393 |
$49K |
| 92202 |
|
3,390 |
2,189 |
$43K |
| 92083 |
|
1,040 |
1,026 |
$42K |
| 92134 |
|
812 |
523 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
763 |
707 |
$27K |
| 92015 |
Determination of refractive state |
2,618 |
1,939 |
$23K |
| 92273 |
|
237 |
152 |
$23K |
| 68840 |
|
151 |
81 |
$13K |
| 92020 |
|
485 |
477 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$8K |
| V2020 |
Frames, purchases |
119 |
108 |
$7K |
| 92225 |
|
130 |
65 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
52 |
$2K |
| 92286 |
|
29 |
13 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
26 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
34 |
34 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
144 |
143 |
$2K |
| 92136 |
|
24 |
12 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
34 |
34 |
$1K |
| 92025 |
|
31 |
26 |
$616.65 |
| 83861 |
|
52 |
41 |
$605.92 |
| V2756 |
Eye glass case |
215 |
212 |
$387.06 |
| S9999 |
Sales tax |
360 |
304 |
$0.00 |