| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,339 |
10,311 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
689 |
654 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,571 |
1,561 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,649 |
4,642 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
261 |
261 |
$11K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
1,650 |
1,648 |
$11K |
| 92002 |
|
278 |
278 |
$9K |
| 92015 |
Determination of refractive state |
8,647 |
8,618 |
$6K |
| 92341 |
|
69 |
69 |
$940.00 |
| V2020 |
Frames, purchases |
11,424 |
10,704 |
$609.71 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,121 |
584 |
$594.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,681 |
2,430 |
$340.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,335 |
3,503 |
$165.20 |
| 2026F |
|
81 |
81 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
365 |
365 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
11,998 |
5,596 |
$0.00 |
| 2033F |
|
728 |
726 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,798 |
1,360 |
$0.00 |
| V2599 |
Contact lens, other type |
427 |
427 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
93 |
93 |
$0.00 |