| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,386 |
6,383 |
$512K |
| 68761 |
|
3,749 |
1,875 |
$282K |
| 76512 |
|
4,336 |
2,171 |
$254K |
| 92286 |
|
2,257 |
2,257 |
$219K |
| 92083 |
|
2,999 |
2,996 |
$176K |
| 92250 |
|
3,007 |
3,006 |
$167K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,470 |
1,470 |
$133K |
| 92285 |
|
1,716 |
1,715 |
$86K |
| 92273 |
|
686 |
686 |
$75K |
| 92100 |
|
743 |
743 |
$44K |
| 92202 |
|
1,427 |
1,427 |
$32K |
| 92020 |
|
1,694 |
1,693 |
$32K |
| 92133 |
|
577 |
577 |
$20K |
| 92060 |
|
274 |
274 |
$11K |
| 68801 |
|
176 |
88 |
$9K |
| V2020 |
Frames, purchases |
397 |
393 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
329 |
326 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
140 |
140 |
$6K |
| 92134 |
|
130 |
130 |
$5K |
| 92226 |
|
279 |
140 |
$4K |
| 76514 |
|
394 |
394 |
$4K |
| 92225 |
|
190 |
96 |
$3K |
| 67820 |
|
120 |
60 |
$3K |
| 92002 |
|
47 |
47 |
$2K |
| 92015 |
Determination of refractive state |
18 |
18 |
$557.20 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
65 |
64 |
$384.00 |