| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,195 |
1,164 |
$72K |
| 92015 |
Determination of refractive state |
2,085 |
2,003 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
369 |
352 |
$26K |
| V2020 |
Frames, purchases |
1,681 |
1,560 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
705 |
649 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,719 |
1,604 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
105 |
100 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
263 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
157 |
141 |
$4K |
| 92002 |
|
29 |
29 |
$1K |
| 92133 |
|
16 |
16 |
$294.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$249.18 |