| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,292 |
3,074 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,267 |
1,212 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
800 |
723 |
$45K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,408 |
1,024 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,520 |
1,418 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
356 |
336 |
$32K |
| 92083 |
|
739 |
643 |
$31K |
| 92250 |
|
757 |
644 |
$29K |
| V2020 |
Frames, purchases |
1,267 |
1,163 |
$21K |
| 92273 |
|
213 |
203 |
$18K |
| 92275 |
|
219 |
179 |
$16K |
| 95930 |
|
267 |
210 |
$13K |
| 92060 |
|
298 |
263 |
$10K |
| 92145 |
|
1,133 |
974 |
$9K |
| 92133 |
|
342 |
310 |
$9K |
| 99215 |
Prolong outpt/office vis |
101 |
86 |
$7K |
| 92132 |
|
411 |
348 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
512 |
437 |
$6K |
| 92285 |
|
226 |
143 |
$5K |
| 76514 |
|
629 |
537 |
$5K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
86 |
42 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
294 |
186 |
$3K |
| 0509T |
|
58 |
52 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
53 |
$2K |
| 92020 |
|
96 |
91 |
$2K |
| 92134 |
|
53 |
38 |
$1K |
| 92025 |
|
45 |
37 |
$868.38 |