| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,687 |
15,313 |
$1.88M |
| 92060 |
|
25,490 |
24,744 |
$1.48M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
9,373 |
9,179 |
$1.39M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,523 |
4,479 |
$642K |
| 92015 |
Determination of refractive state |
28,829 |
28,167 |
$519K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,510 |
6,045 |
$405K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,143 |
3,934 |
$353K |
| 92285 |
|
9,021 |
8,831 |
$193K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
965 |
965 |
$87K |
| V2020 |
Frames, purchases |
644 |
644 |
$56K |
| V2750 |
Anti-reflective coating, per lens |
1,015 |
1,015 |
$47K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
384 |
384 |
$26K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
219 |
219 |
$15K |
| V2744 |
Tint, photochromatic, per lens |
204 |
204 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
98 |
98 |
$6K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
34 |
34 |
$2K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
15 |
15 |
$2K |
| 92133 |
|
42 |
42 |
$2K |
| 92083 |
|
13 |
13 |
$830.48 |