| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,103 |
5,909 |
$452K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,681 |
2,580 |
$229K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,991 |
6,690 |
$152K |
| 92015 |
Determination of refractive state |
11,762 |
11,395 |
$132K |
| V2020 |
Frames, purchases |
4,215 |
3,903 |
$120K |
| 92065 |
|
3,802 |
695 |
$117K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,709 |
1,006 |
$79K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,163 |
3,771 |
$76K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,235 |
1,766 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,116 |
951 |
$68K |
| 92083 |
|
985 |
933 |
$37K |
| 92341 |
|
782 |
753 |
$21K |
| 92060 |
|
492 |
472 |
$20K |
| 92250 |
|
683 |
652 |
$17K |
| 92133 |
|
361 |
351 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
146 |
91 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
25 |
$2K |
| 92134 |
|
47 |
42 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
13 |
$507.00 |