| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,401 |
6,086 |
$579K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,215 |
3,387 |
$388K |
| V2020 |
Frames, purchases |
10,892 |
8,603 |
$358K |
| 92015 |
Determination of refractive state |
13,733 |
11,135 |
$159K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,810 |
2,329 |
$111K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,659 |
2,649 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,050 |
807 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
475 |
358 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
500 |
244 |
$13K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
369 |
219 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
104 |
$10K |
| 92250 |
|
275 |
201 |
$8K |
| 92083 |
|
138 |
111 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
793 |
597 |
$3K |
| 92065 |
|
81 |
40 |
$3K |
| 92133 |
|
46 |
39 |
$1K |