| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,876 |
14,883 |
$472K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,528 |
2,456 |
$96K |
| 92083 |
|
5,799 |
5,445 |
$93K |
| 92250 |
|
3,295 |
3,160 |
$90K |
| 92133 |
|
4,214 |
3,914 |
$49K |
| 92226 |
|
2,551 |
1,589 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,209 |
1,051 |
$33K |
| 92020 |
|
3,291 |
3,021 |
$29K |
| 92015 |
Determination of refractive state |
3,883 |
3,876 |
$23K |
| 92134 |
|
2,029 |
1,838 |
$21K |
| 92225 |
|
752 |
521 |
$18K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
680 |
679 |
$18K |
| 68761 |
|
752 |
402 |
$18K |
| 92202 |
|
3,253 |
3,057 |
$15K |
| 92201 |
|
3,022 |
2,675 |
$15K |
| 92132 |
|
1,730 |
1,527 |
$11K |
| 76514 |
|
1,460 |
1,404 |
$10K |
| 92025 |
|
1,219 |
1,099 |
$9K |
| 92082 |
|
460 |
420 |
$5K |
| 92136 |
|
232 |
123 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
105 |
105 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
92 |
92 |
$2K |
| 83861 |
|
172 |
96 |
$1K |
| 92285 |
|
672 |
582 |
$1K |
| 92145 |
|
384 |
319 |
$965.54 |
| 92275 |
|
37 |
37 |
$754.81 |
| 76512 |
|
17 |
12 |
$554.87 |
| 92081 |
|
31 |
31 |
$496.00 |
| 92286 |
|
57 |
52 |
$310.85 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,850 |
908 |
$129.20 |
| 99024 |
|
914 |
549 |
$119.17 |
| V2020 |
Frames, purchases |
1,617 |
1,547 |
$60.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,169 |
1,034 |
$21.00 |
| V2750 |
Anti-reflective coating, per lens |
1,446 |
696 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
24 |
12 |
$0.00 |
| V2781 |
Progressive lens, per lens |
50 |
25 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
36 |
16 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
26 |
13 |
$0.00 |