| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,426 |
9,135 |
$689K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,392 |
4,902 |
$499K |
| 92060 |
|
10,356 |
9,067 |
$341K |
| 92015 |
Determination of refractive state |
11,661 |
10,428 |
$340K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,931 |
2,616 |
$286K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,629 |
3,409 |
$241K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,341 |
3,779 |
$212K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,503 |
6,918 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,849 |
2,448 |
$173K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,383 |
5,878 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,084 |
2,711 |
$120K |
| V2020 |
Frames, purchases |
6,669 |
6,142 |
$107K |
| 67515 |
|
117 |
99 |
$5K |
| V2114 |
Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens |
142 |
132 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
145 |
132 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
63 |
60 |
$604.30 |
| 92285 |
|
22 |
17 |
$480.04 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
13 |
$394.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
25 |
$13.55 |
| V2799 |
Vision item or service, miscellaneous |
107 |
58 |
$0.00 |