| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,553 |
5,177 |
$237K |
| 92250 |
|
5,354 |
4,860 |
$221K |
| 92015 |
Determination of refractive state |
9,693 |
8,932 |
$169K |
| V2025 |
Deluxe frame |
3,081 |
2,835 |
$128K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,318 |
3,937 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,843 |
1,642 |
$106K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,834 |
1,752 |
$84K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,680 |
4,336 |
$70K |
| 92083 |
|
1,016 |
937 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,733 |
3,441 |
$27K |
| V2020 |
Frames, purchases |
2,965 |
2,761 |
$27K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
717 |
651 |
$18K |
| 92341 |
|
426 |
373 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
123 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
138 |
120 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| 92133 |
|
18 |
17 |
$404.50 |