| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,879 |
7,606 |
$575K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,817 |
4,624 |
$421K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,239 |
8,474 |
$253K |
| V2020 |
Frames, purchases |
15,262 |
14,680 |
$239K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,528 |
9,136 |
$127K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,762 |
3,466 |
$93K |
| 92015 |
Determination of refractive state |
6,616 |
6,438 |
$57K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
365 |
338 |
$27K |
| V2799 |
Vision item or service, miscellaneous |
1,653 |
1,630 |
$27K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,057 |
939 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,079 |
1,064 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
277 |
244 |
$11K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
426 |
379 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
100 |
99 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
135 |
129 |
$5K |
| 92250 |
|
147 |
142 |
$5K |
| 92310 |
|
19 |
16 |
$1K |
| 92133 |
|
13 |
12 |
$299.04 |
| 1036F |
|
12 |
12 |
$0.00 |