| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18,553 |
18,483 |
$1.08M |
| 92250 |
|
17,762 |
17,675 |
$802K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
2,726 |
2,714 |
$678K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,643 |
9,609 |
$665K |
| 92060 |
|
10,896 |
10,853 |
$405K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,869 |
8,621 |
$364K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
6,173 |
6,150 |
$259K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17,098 |
11,086 |
$232K |
| V2020 |
Frames, purchases |
21,822 |
21,638 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,857 |
5,304 |
$229K |
| 76512 |
|
2,659 |
2,652 |
$215K |
| 92015 |
Determination of refractive state |
18,409 |
18,270 |
$184K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,795 |
11,729 |
$159K |
| 92310 |
|
1,235 |
1,193 |
$156K |
| 92133 |
|
2,871 |
2,863 |
$84K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,873 |
7,818 |
$79K |
| 92025 |
|
3,009 |
2,997 |
$68K |
| 92225 |
|
2,474 |
2,351 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
862 |
857 |
$66K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,922 |
1,738 |
$65K |
| 92226 |
|
1,862 |
1,775 |
$52K |
| 92285 |
|
2,324 |
2,308 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
831 |
$45K |
| 92273 |
|
421 |
420 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,666 |
7,353 |
$30K |
| 92202 |
|
2,034 |
2,025 |
$30K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
445 |
440 |
$25K |
| 92083 |
|
458 |
457 |
$22K |
| 92341 |
|
979 |
971 |
$17K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
934 |
770 |
$17K |
| 92134 |
|
443 |
443 |
$11K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
845 |
616 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$846.60 |
| 92020 |
|
55 |
55 |
$751.35 |
| 68801 |
|
13 |
13 |
$532.80 |
| 92286 |
|
38 |
38 |
$291.01 |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
12 |
12 |
$227.70 |
| 2023F |
|
31 |
31 |
$0.00 |
| V2755 |
U-v lens, per lens |
194 |
97 |
$0.00 |
| 3072F |
|
86 |
85 |
$0.00 |
| 2022F |
|
173 |
170 |
$0.00 |
| 2024F |
|
16 |
16 |
$0.00 |