| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,941 |
1,892 |
$140K |
| 92015 |
Determination of refractive state |
2,558 |
2,400 |
$22K |
| V2020 |
Frames, purchases |
1,454 |
1,416 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
670 |
650 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
481 |
467 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
117 |
111 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
52 |
$5K |
| 92250 |
|
96 |
91 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
38 |
37 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92133 |
|
13 |
13 |
$271.85 |
| 3072F |
|
248 |
231 |
$0.00 |
| 2023F |
|
184 |
177 |
$0.00 |