| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,868 |
9,985 |
$514K |
| 92015 |
Determination of refractive state |
14,226 |
12,097 |
$242K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,782 |
4,366 |
$205K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,267 |
3,644 |
$193K |
| 92250 |
|
3,252 |
2,521 |
$142K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,894 |
2,551 |
$117K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,525 |
1,346 |
$69K |
| V2020 |
Frames, purchases |
1,977 |
1,905 |
$39K |
| V2025 |
Deluxe frame |
1,633 |
1,342 |
$38K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,547 |
1,507 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
596 |
575 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
117 |
113 |
$5K |
| 92025 |
|
83 |
46 |
$1K |
| 92341 |
|
27 |
24 |
$795.42 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$510.00 |
| 3072F |
|
77 |
77 |
$0.00 |
| 1036F |
|
78 |
64 |
$0.00 |
| 4004F |
|
1,396 |
1,117 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
25 |
14 |
$0.00 |