| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,554 |
7,254 |
$787K |
| 92083 |
|
8,278 |
7,887 |
$411K |
| 92250 |
|
11,727 |
11,153 |
$405K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,862 |
2,746 |
$337K |
| 92015 |
Determination of refractive state |
11,464 |
10,858 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,440 |
1,208 |
$98K |
| 92081 |
|
2,919 |
2,772 |
$81K |
| V2020 |
Frames, purchases |
931 |
902 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
474 |
434 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
796 |
769 |
$19K |
| 68761 |
|
219 |
147 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
51 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
816 |
787 |
$6K |
| 92284 |
|
61 |
58 |
$2K |
| 92285 |
|
109 |
106 |
$2K |
| 92133 |
|
55 |
51 |
$1K |