| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76512 |
|
1,738 |
890 |
$95K |
| 92250 |
|
2,260 |
2,040 |
$82K |
| 92285 |
|
2,062 |
1,861 |
$59K |
| 92082 |
|
960 |
948 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
520 |
481 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
980 |
634 |
$21K |
| 92060 |
|
735 |
706 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
263 |
261 |
$18K |
| 92132 |
|
1,095 |
1,007 |
$18K |
| V2020 |
Frames, purchases |
871 |
858 |
$13K |
| 92025 |
|
508 |
450 |
$7K |
| 92286 |
|
115 |
105 |
$7K |
| 92134 |
|
271 |
254 |
$4K |
| 76514 |
|
680 |
616 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
53 |
52 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,070 |
654 |
$2K |
| 92133 |
|
108 |
99 |
$998.81 |
| 92225 |
|
13 |
12 |
$574.86 |
| 92284 |
|
13 |
12 |
$145.07 |
| 92273 |
|
16 |
15 |
$68.72 |
| 92015 |
Determination of refractive state |
408 |
403 |
$0.00 |
| 92145 |
|
19 |
16 |
$0.00 |