| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,794 |
3,417 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,231 |
2,848 |
$142K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,229 |
2,863 |
$91K |
| 92015 |
Determination of refractive state |
5,013 |
4,413 |
$86K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,444 |
1,258 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
949 |
846 |
$47K |
| 92250 |
|
994 |
904 |
$39K |
| V2020 |
Frames, purchases |
705 |
662 |
$18K |
| V2025 |
Deluxe frame |
683 |
594 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
262 |
$10K |
| 92133 |
|
424 |
406 |
$10K |
| 83861 |
|
238 |
147 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
342 |
315 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
25 |
25 |
$3K |
| 92136 |
|
61 |
54 |
$2K |
| 92341 |
|
45 |
39 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$734.45 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
40 |
$733.00 |
| 92285 |
|
26 |
26 |
$670.38 |
| 92002 |
|
18 |
17 |
$505.36 |
| 92083 |
|
12 |
12 |
$406.35 |