| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,544 |
6,356 |
$279K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,127 |
4,601 |
$255K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,180 |
2,037 |
$148K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
3,475 |
1,617 |
$147K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,139 |
2,419 |
$65K |
| V2020 |
Frames, purchases |
4,618 |
4,195 |
$51K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,106 |
3,748 |
$46K |
| 68761 |
|
608 |
440 |
$24K |
| 92020 |
|
1,685 |
1,641 |
$15K |
| 92225 |
|
1,375 |
672 |
$14K |
| 92226 |
|
1,356 |
667 |
$11K |
| 92202 |
|
724 |
676 |
$5K |
| V2523 |
Contact lens, hydrophilic, extended wear, per lens |
46 |
45 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
132 |
132 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
222 |
222 |
$1K |
| 92201 |
|
105 |
97 |
$897.40 |