| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,353 |
5,015 |
$454K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,029 |
1,920 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,236 |
3,903 |
$200K |
| 92015 |
Determination of refractive state |
7,145 |
6,720 |
$108K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
411 |
363 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
230 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
248 |
241 |
$15K |
| 92250 |
|
709 |
639 |
$13K |
| V2020 |
Frames, purchases |
284 |
282 |
$8K |
| 67311 |
|
14 |
12 |
$4K |
| 92083 |
|
126 |
118 |
$4K |
| 92133 |
|
101 |
91 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
14 |
$909.75 |
| 92082 |
|
12 |
12 |
$371.77 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
12 |
$36.96 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25 |
25 |
$12.00 |