| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,963 |
3,779 |
$277K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,709 |
1,659 |
$147K |
| V2020 |
Frames, purchases |
7,104 |
6,769 |
$143K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,538 |
4,183 |
$100K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,010 |
3,861 |
$50K |
| 92015 |
Determination of refractive state |
1,986 |
1,955 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,095 |
1,072 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
510 |
463 |
$12K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
154 |
140 |
$10K |
| 92250 |
|
317 |
302 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
227 |
$6K |
| V2025 |
Deluxe frame |
132 |
113 |
$6K |
| V2799 |
Vision item or service, miscellaneous |
379 |
379 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
291 |
285 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
76 |
$3K |
| 92083 |
|
38 |
38 |
$2K |
| 92285 |
|
30 |
26 |
$538.88 |
| 2023F |
|
12 |
12 |
$0.00 |