| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,165 |
3,048 |
$257K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,448 |
1,390 |
$141K |
| 92015 |
Determination of refractive state |
7,094 |
6,803 |
$107K |
| 92060 |
|
2,368 |
2,277 |
$103K |
| 92250 |
|
949 |
922 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
660 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,076 |
1,904 |
$23K |
| 92225 |
|
702 |
678 |
$19K |
| 92285 |
|
1,281 |
1,177 |
$16K |
| 92201 |
|
308 |
295 |
$5K |
| 92065 |
|
169 |
161 |
$5K |
| 92283 |
|
72 |
72 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$2K |
| V2020 |
Frames, purchases |
1,949 |
1,728 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,290 |
1,172 |
$571.77 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
417 |
382 |
$116.94 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
239 |
223 |
$30.68 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,150 |
1,936 |
$18.00 |
| V2025 |
Deluxe frame |
34 |
32 |
$0.00 |