| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,244 |
1,155 |
$73K |
| 92015 |
Determination of refractive state |
980 |
924 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
252 |
229 |
$22K |
| V2020 |
Frames, purchases |
1,302 |
1,217 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
823 |
764 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,051 |
965 |
$14K |
| 92250 |
|
422 |
387 |
$6K |
| 99215 |
Prolong outpt/office vis |
163 |
156 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
309 |
291 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
209 |
183 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
47 |
43 |
$950.75 |
| 92083 |
|
45 |
44 |
$812.58 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$762.71 |
| V2799 |
Vision item or service, miscellaneous |
58 |
57 |
$276.00 |
| 92020 |
|
12 |
12 |
$67.90 |
| 99072 |
|
24 |
22 |
$0.00 |