| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
49,852 |
49,681 |
$684K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24,817 |
24,699 |
$539K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
43,851 |
43,528 |
$466K |
| 92250 |
|
7,684 |
6,229 |
$101K |
| 92341 |
|
5,448 |
5,386 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,768 |
6,696 |
$82K |
| 92002 |
|
6,082 |
6,071 |
$72K |
| V2020 |
Frames, purchases |
9,876 |
9,645 |
$47K |
| 92202 |
|
15,143 |
15,048 |
$35K |
| 92225 |
|
4,688 |
2,728 |
$30K |
| 92226 |
|
4,455 |
2,647 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
691 |
691 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,986 |
3,442 |
$22K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,867 |
1,473 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,539 |
1,535 |
$18K |
| 92015 |
Determination of refractive state |
17,223 |
17,028 |
$17K |
| 92201 |
|
2,275 |
2,272 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
890 |
728 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
73 |
$2K |
| 92285 |
|
105 |
105 |
$412.77 |
| 92228 |
|
30 |
28 |
$344.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$6.09 |
| 2023F |
|
39 |
39 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
40 |
37 |
$0.00 |