| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,989 |
3,951 |
$352K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,806 |
4,427 |
$350K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,856 |
2,831 |
$307K |
| 92060 |
|
4,793 |
4,751 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,988 |
3,480 |
$183K |
| 92065 |
|
2,100 |
1,053 |
$75K |
| V2020 |
Frames, purchases |
4,455 |
4,303 |
$73K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,029 |
1,011 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,422 |
1,420 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,978 |
1,914 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,235 |
1,203 |
$23K |
| 92083 |
|
351 |
349 |
$19K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
359 |
344 |
$9K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
286 |
277 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
120 |
119 |
$5K |
| 92002 |
|
73 |
72 |
$5K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
99 |
99 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
108 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
66 |
64 |
$0.00 |