| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
3,642 |
3,629 |
$160K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,406 |
2,403 |
$140K |
| 92285 |
|
3,050 |
3,033 |
$83K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,003 |
2,508 |
$77K |
| V2020 |
Frames, purchases |
3,986 |
3,909 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
655 |
653 |
$48K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,042 |
1,023 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
636 |
634 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
551 |
505 |
$22K |
| 92083 |
|
404 |
395 |
$19K |
| 92133 |
|
659 |
657 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
665 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
222 |
220 |
$13K |
| 92202 |
|
404 |
361 |
$11K |
| 92132 |
|
341 |
336 |
$8K |
| 92060 |
|
152 |
152 |
$5K |
| 76514 |
|
371 |
370 |
$2K |
| 92134 |
|
31 |
31 |
$516.06 |
| 92020 |
|
14 |
14 |
$210.14 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,703 |
841 |
$36.00 |
| V2025 |
Deluxe frame |
35 |
35 |
$0.00 |