| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,732 |
6,026 |
$288K |
| 92015 |
Determination of refractive state |
5,397 |
4,998 |
$175K |
| 92250 |
|
4,735 |
4,204 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,186 |
1,962 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,275 |
3,987 |
$118K |
| 92083 |
|
3,562 |
3,032 |
$52K |
| V2020 |
Frames, purchases |
3,155 |
2,863 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,026 |
868 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,425 |
1,098 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
165 |
149 |
$3K |
| 76512 |
|
210 |
103 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
91 |
84 |
$3K |
| 92134 |
|
227 |
189 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
71 |
$2K |
| 92133 |
|
60 |
57 |
$1K |
| 76514 |
|
29 |
26 |
$148.77 |
| V2744 |
Tint, photochromatic, per lens |
97 |
97 |
$0.00 |
| 2023F |
|
481 |
476 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
37 |
37 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
74 |
68 |
$0.00 |
| V2781 |
Progressive lens, per lens |
41 |
41 |
$0.00 |
| 2022F |
|
96 |
96 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
12 |
12 |
$0.00 |