| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,818 |
10,914 |
$622K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,023 |
2,824 |
$225K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,660 |
4,038 |
$152K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,747 |
4,611 |
$119K |
| V2020 |
Frames, purchases |
7,598 |
7,357 |
$105K |
| 92015 |
Determination of refractive state |
11,305 |
10,422 |
$82K |
| 92083 |
|
2,720 |
2,479 |
$78K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,642 |
5,498 |
$74K |
| 92250 |
|
3,230 |
2,804 |
$74K |
| 92285 |
|
2,959 |
2,705 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,488 |
1,357 |
$48K |
| 92133 |
|
3,114 |
2,872 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,571 |
1,474 |
$42K |
| 92134 |
|
3,693 |
3,321 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,811 |
1,731 |
$20K |
| 92020 |
|
1,361 |
1,293 |
$14K |
| 92226 |
|
1,074 |
884 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
293 |
291 |
$9K |
| 76514 |
|
587 |
564 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
68 |
68 |
$1K |
| 92235 |
|
27 |
27 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$1K |
| 92225 |
|
57 |
51 |
$928.15 |
| V2799 |
Vision item or service, miscellaneous |
89 |
89 |
$904.02 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$243.54 |
| 92202 |
|
33 |
18 |
$66.85 |