| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
8,369 |
8,017 |
$307K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,968 |
3,848 |
$263K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,386 |
3,290 |
$171K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,167 |
1,752 |
$62K |
| V2020 |
Frames, purchases |
995 |
734 |
$21K |
| 92285 |
|
1,009 |
616 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
469 |
440 |
$13K |
| 68761 |
|
191 |
114 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
396 |
324 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
233 |
172 |
$5K |
| 92341 |
|
259 |
194 |
$4K |
| 92250 |
|
135 |
108 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
79 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
141 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
107 |
57 |
$2K |
| 92083 |
|
20 |
13 |
$603.57 |
| 92284 |
|
15 |
12 |
$359.28 |
| 0507T |
|
18 |
16 |
$0.00 |