| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,192 |
1,072 |
$81K |
| 92015 |
Determination of refractive state |
3,609 |
3,100 |
$44K |
| V2020 |
Frames, purchases |
2,489 |
2,224 |
$34K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
848 |
812 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,543 |
1,303 |
$30K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
524 |
502 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
231 |
198 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
149 |
130 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
54 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
92 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
29 |
28 |
$702.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$305.03 |
| 92136 |
|
21 |
15 |
$158.02 |