| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,575 |
3,538 |
$160K |
| 92250 |
|
3,812 |
3,748 |
$124K |
| V2020 |
Frames, purchases |
6,006 |
5,877 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,358 |
1,340 |
$93K |
| 92015 |
Determination of refractive state |
4,187 |
4,120 |
$91K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,290 |
1,972 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,026 |
4,880 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,605 |
$81K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,740 |
1,695 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
454 |
445 |
$27K |
| 92083 |
|
299 |
289 |
$10K |
| 92133 |
|
372 |
365 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
161 |
106 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 92341 |
|
28 |
27 |
$536.04 |
| 92145 |
|
15 |
13 |
$107.31 |