| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,317 |
7,268 |
$427K |
| 92250 |
|
4,489 |
4,453 |
$200K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,356 |
2,347 |
$195K |
| 92083 |
|
3,850 |
3,801 |
$186K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,402 |
2,383 |
$161K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,731 |
3,558 |
$150K |
| 68761 |
|
2,093 |
1,098 |
$148K |
| 92133 |
|
3,315 |
3,297 |
$97K |
| V2020 |
Frames, purchases |
7,079 |
6,974 |
$89K |
| 92060 |
|
2,434 |
2,411 |
$87K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,391 |
2,653 |
$71K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,576 |
2,359 |
$64K |
| 92020 |
|
4,154 |
4,100 |
$60K |
| 92202 |
|
2,321 |
2,054 |
$56K |
| 92201 |
|
2,654 |
1,992 |
$45K |
| 92285 |
|
1,383 |
1,374 |
$45K |
| 92226 |
|
1,736 |
937 |
$27K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
638 |
362 |
$16K |
| 92225 |
|
865 |
469 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
264 |
140 |
$6K |
| 92134 |
|
183 |
182 |
$5K |
| 76514 |
|
678 |
675 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,070 |
2,130 |
$1K |
| 92132 |
|
25 |
25 |
$598.87 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$471.37 |
| 92015 |
Determination of refractive state |
45 |
45 |
$190.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
49 |
44 |
$105.00 |
| 92341 |
|
13 |
12 |
$0.00 |
| V2755 |
U-v lens, per lens |
601 |
297 |
$0.00 |