| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,201 |
2,137 |
$63K |
| 92250 |
|
2,384 |
2,341 |
$56K |
| 92083 |
|
2,291 |
2,227 |
$24K |
| 92226 |
|
721 |
715 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
675 |
609 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
338 |
338 |
$8K |
| 92020 |
|
525 |
518 |
$7K |
| V2020 |
Frames, purchases |
536 |
532 |
$3K |
| 92225 |
|
97 |
96 |
$3K |
| 92015 |
Determination of refractive state |
620 |
613 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
260 |
191 |
$2K |
| 92285 |
|
254 |
247 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$800.00 |
| 92202 |
|
124 |
121 |
$718.25 |
| 92133 |
|
36 |
36 |
$473.85 |
| 76512 |
|
12 |
12 |
$162.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
90 |
$138.88 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
149 |
74 |
$74.48 |
| 68761 |
|
19 |
17 |
$45.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
100 |
53 |
$0.00 |