| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,149 |
4,539 |
$314K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,487 |
2,214 |
$190K |
| V2020 |
Frames, purchases |
8,429 |
7,366 |
$115K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,505 |
6,963 |
$93K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,226 |
3,890 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,319 |
1,214 |
$59K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,135 |
1,799 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,269 |
1,000 |
$26K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
466 |
416 |
$25K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
296 |
255 |
$14K |
| 92002 |
|
292 |
230 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
125 |
$5K |
| 92250 |
|
164 |
129 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
394 |
386 |
$5K |
| 3072F |
|
940 |
662 |
$5K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
236 |
215 |
$4K |
| 92133 |
|
191 |
184 |
$4K |
| 92083 |
|
76 |
73 |
$3K |
| 92015 |
Determination of refractive state |
9,121 |
7,705 |
$3K |
| 92341 |
|
60 |
59 |
$729.24 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,974 |
580 |
$0.00 |
| 1159F |
|
223 |
87 |
$0.00 |
| 1160F |
|
223 |
87 |
$0.00 |