| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,066 |
4,008 |
$93K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,430 |
1,245 |
$66K |
| V2020 |
Frames, purchases |
2,110 |
1,904 |
$38K |
| 92225 |
|
905 |
614 |
$26K |
| 92250 |
|
615 |
610 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,080 |
889 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,576 |
1,572 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
248 |
248 |
$15K |
| V2755 |
U-v lens, per lens |
420 |
419 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
204 |
197 |
$11K |
| 92015 |
Determination of refractive state |
2,267 |
2,260 |
$9K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
410 |
410 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
343 |
339 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
14 |
14 |
$1K |
| 92201 |
|
38 |
38 |
$816.53 |
| 92020 |
|
14 |
14 |
$224.00 |
| 2022F |
|
216 |
214 |
$0.00 |