| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,185 |
3,155 |
$274K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,386 |
3,210 |
$188K |
| 68761 |
|
1,029 |
956 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,885 |
1,734 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,364 |
1,350 |
$107K |
| 92015 |
Determination of refractive state |
5,740 |
5,577 |
$75K |
| 92250 |
|
1,676 |
1,650 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,825 |
3,749 |
$57K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,010 |
989 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
343 |
$38K |
| 92002 |
|
571 |
566 |
$25K |
| 92083 |
|
411 |
399 |
$22K |
| V2020 |
Frames, purchases |
1,467 |
1,446 |
$17K |
| 92133 |
|
240 |
237 |
$7K |
| 92341 |
|
197 |
194 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,991 |
1,467 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
56 |
28 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
54 |
28 |
$1K |
| 92020 |
|
40 |
40 |
$949.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$758.04 |
| 0507T |
|
357 |
356 |
$239.30 |
| 76514 |
|
13 |
13 |
$99.24 |
| 92285 |
|
44 |
43 |
$97.35 |
| 0330T |
|
60 |
60 |
$70.76 |