| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,317 |
11,313 |
$1.50M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,509 |
5,509 |
$867K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,453 |
7,062 |
$691K |
| 92083 |
|
2,688 |
2,686 |
$181K |
| 92250 |
|
3,460 |
3,459 |
$159K |
| 92133 |
|
3,546 |
3,539 |
$135K |
| 92226 |
|
3,596 |
1,799 |
$94K |
| 92225 |
|
2,350 |
1,177 |
$67K |
| 92202 |
|
4,139 |
3,987 |
$65K |
| 92134 |
|
1,327 |
1,322 |
$56K |
| 92201 |
|
2,168 |
2,157 |
$55K |
| 92020 |
|
499 |
498 |
$14K |
| 92002 |
|
152 |
152 |
$13K |
| 68761 |
|
51 |
51 |
$12K |
| V2020 |
Frames, purchases |
717 |
715 |
$3K |
| 76514 |
|
422 |
422 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
240 |
120 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
214 |
107 |
$1K |
| 95060 |
|
86 |
86 |
$41.60 |
| 99072 |
|
185 |
177 |
$0.00 |
| 92015 |
Determination of refractive state |
6,760 |
6,751 |
$0.00 |