| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
21,840 |
21,482 |
$1.02M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12,002 |
11,797 |
$736K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,017 |
3,182 |
$212K |
| 92015 |
Determination of refractive state |
35,882 |
35,281 |
$211K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
3,914 |
1,769 |
$70K |
| 92228 |
|
1,317 |
1,301 |
$28K |
| V2020 |
Frames, purchases |
3,530 |
3,197 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,306 |
616 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
354 |
165 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
142 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
174 |
169 |
$5K |
| 92133 |
|
201 |
194 |
$4K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$3K |
| 92134 |
|
58 |
56 |
$1K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
48 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$670.49 |
| 92227 |
|
57 |
57 |
$391.36 |
| 92250 |
|
12 |
12 |
$102.45 |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$0.00 |