| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,718 |
2,412 |
$201K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,849 |
2,661 |
$188K |
| V2020 |
Frames, purchases |
4,979 |
4,389 |
$103K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,835 |
4,046 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,439 |
1,164 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,773 |
2,506 |
$30K |
| 92015 |
Determination of refractive state |
4,778 |
4,412 |
$28K |
| V2025 |
Deluxe frame |
474 |
368 |
$23K |
| 92083 |
|
344 |
295 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
182 |
155 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
192 |
173 |
$6K |
| V2799 |
Vision item or service, miscellaneous |
612 |
579 |
$6K |
| 92250 |
|
209 |
168 |
$5K |
| 92133 |
|
170 |
150 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
28 |
$630.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$187.74 |