| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
8,896 |
8,596 |
$309K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,215 |
5,078 |
$298K |
| 92015 |
Determination of refractive state |
10,920 |
10,628 |
$150K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,176 |
3,096 |
$138K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,208 |
1,168 |
$120K |
| 92002 |
|
2,087 |
2,025 |
$119K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,727 |
1,684 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
966 |
898 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,014 |
1,786 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
319 |
304 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
712 |
637 |
$28K |
| V2755 |
U-v lens, per lens |
1,660 |
1,641 |
$23K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
255 |
248 |
$17K |
| 92083 |
|
219 |
207 |
$8K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
116 |
114 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
26 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
26 |
25 |
$1K |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
14 |
12 |
$0.00 |
| 2022F |
|
15 |
13 |
$0.00 |
| 5010F |
|
15 |
13 |
$0.00 |