| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,281 |
1,168 |
$72K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
676 |
638 |
$55K |
| V2020 |
Frames, purchases |
2,087 |
1,957 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
127 |
$8K |
| 92133 |
|
314 |
282 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
145 |
137 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
77 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
98 |
94 |
$3K |
| 92083 |
|
83 |
72 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
49 |
38 |
$2K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
17 |
16 |
$701.44 |
| V2756 |
Eye glass case |
666 |
638 |
$612.36 |
| 92020 |
|
34 |
27 |
$598.40 |
| 92134 |
|
15 |
13 |
$214.16 |
| 76514 |
|
14 |
13 |
$41.85 |
| V2781 |
Progressive lens, per lens |
42 |
41 |
$0.00 |