| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,614 |
4,235 |
$314K |
| 92015 |
Determination of refractive state |
9,161 |
8,346 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,560 |
4,663 |
$292K |
| 92273 |
|
3,569 |
3,187 |
$263K |
| 92083 |
|
6,641 |
5,520 |
$257K |
| 92285 |
|
11,853 |
6,521 |
$249K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,308 |
2,164 |
$207K |
| 92275 |
|
2,579 |
2,061 |
$187K |
| 95930 |
|
3,337 |
2,652 |
$162K |
| 92250 |
|
4,194 |
3,460 |
$151K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,999 |
4,629 |
$140K |
| 92133 |
|
5,519 |
4,858 |
$130K |
| 99215 |
Prolong outpt/office vis |
1,667 |
1,359 |
$120K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,761 |
3,208 |
$116K |
| 92060 |
|
2,640 |
2,275 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,554 |
2,273 |
$88K |
| V2020 |
Frames, purchases |
4,293 |
3,952 |
$76K |
| 92145 |
|
7,067 |
5,718 |
$55K |
| 0509T |
|
1,060 |
852 |
$48K |
| 92020 |
|
2,668 |
2,265 |
$43K |
| 92132 |
|
2,684 |
2,273 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,850 |
2,398 |
$34K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
526 |
241 |
$26K |
| 92134 |
|
1,146 |
907 |
$23K |
| 92025 |
|
880 |
725 |
$17K |
| 76514 |
|
2,303 |
1,863 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
808 |
659 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
92 |
$5K |
| 0464T |
|
67 |
51 |
$63.33 |
| 3072F |
|
95 |
92 |
$0.00 |
| 2023F |
|
205 |
194 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
16 |
13 |
$0.00 |