| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,744 |
7,188 |
$329K |
| 92015 |
Determination of refractive state |
14,270 |
13,171 |
$232K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,186 |
5,329 |
$176K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,864 |
4,371 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,779 |
2,536 |
$122K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,291 |
1,948 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,369 |
3,141 |
$110K |
| 92250 |
|
2,370 |
2,219 |
$89K |
| V2025 |
Deluxe frame |
1,956 |
1,710 |
$56K |
| V2020 |
Frames, purchases |
1,797 |
1,683 |
$53K |
| 83861 |
|
2,389 |
1,295 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,510 |
1,413 |
$33K |
| 92002 |
|
1,148 |
979 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
562 |
539 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,326 |
1,317 |
$16K |
| 92133 |
|
541 |
533 |
$13K |
| 92273 |
|
194 |
193 |
$13K |
| 92025 |
|
657 |
652 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
817 |
811 |
$9K |
| 92083 |
|
251 |
244 |
$9K |
| 92341 |
|
177 |
151 |
$5K |
| 92285 |
|
117 |
108 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
26 |
$3K |
| 68761 |
|
24 |
14 |
$1K |
| 92134 |
|
18 |
18 |
$372.05 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
40 |
40 |
$370.10 |