| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,499 |
4,192 |
$304K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,305 |
2,129 |
$190K |
| V2020 |
Frames, purchases |
6,852 |
6,277 |
$100K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,083 |
2,938 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,557 |
3,169 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,351 |
1,737 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,757 |
1,686 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
487 |
427 |
$20K |
| 92133 |
|
194 |
178 |
$3K |
| 92250 |
|
113 |
95 |
$3K |
| 92025 |
|
111 |
107 |
$2K |
| 92132 |
|
108 |
90 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
15 |
$721.80 |
| 76514 |
|
111 |
93 |
$619.00 |
| 92015 |
Determination of refractive state |
6,038 |
5,278 |
$428.26 |
| 92083 |
|
14 |
12 |
$396.56 |
| 92341 |
|
32 |
32 |
$383.16 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
19 |
12 |
$166.05 |