| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,210 |
2,848 |
$230K |
| V2020 |
Frames, purchases |
4,422 |
3,862 |
$148K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,503 |
1,312 |
$138K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,047 |
2,429 |
$129K |
| 92015 |
Determination of refractive state |
6,849 |
6,068 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,034 |
875 |
$51K |
| 92250 |
|
568 |
452 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
388 |
166 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
185 |
176 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$465.10 |