| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,825 |
17,785 |
$1.46M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
11,044 |
10,181 |
$1.09M |
| V2020 |
Frames, purchases |
25,060 |
22,554 |
$875K |
| 92015 |
Determination of refractive state |
33,329 |
29,292 |
$422K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14,170 |
8,023 |
$399K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,069 |
5,407 |
$319K |
| V2755 |
U-v lens, per lens |
15,242 |
7,360 |
$159K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,406 |
2,165 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
746 |
621 |
$41K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
162 |
127 |
$34K |
| 92083 |
|
439 |
400 |
$20K |
| 92136 |
|
646 |
556 |
$15K |
| 92134 |
|
712 |
582 |
$15K |
| 92250 |
|
618 |
569 |
$13K |
| 92133 |
|
354 |
326 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
216 |
148 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
389 |
225 |
$7K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
37 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
28 |
15 |
$0.00 |