| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,882 |
14,308 |
$876K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,925 |
9,739 |
$680K |
| V2020 |
Frames, purchases |
8,206 |
8,132 |
$443K |
| V2025 |
Deluxe frame |
7,202 |
7,170 |
$386K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
9,238 |
9,066 |
$304K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,855 |
1,854 |
$166K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,592 |
2,472 |
$144K |
| 92015 |
Determination of refractive state |
18,262 |
17,479 |
$141K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,514 |
6,429 |
$126K |
| 92250 |
|
2,693 |
2,562 |
$70K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
459 |
459 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
166 |
141 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
118 |
118 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
138 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
41 |
41 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
43 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
27 |
27 |
$2K |
| 92020 |
|
12 |
12 |
$241.45 |
| 1036F |
|
18 |
12 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
3,291 |
3,272 |
$0.00 |