| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,660 |
3,504 |
$153K |
| 92285 |
|
4,791 |
3,998 |
$122K |
| 92250 |
|
2,857 |
2,629 |
$106K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,790 |
3,630 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,933 |
2,350 |
$98K |
| 92015 |
Determination of refractive state |
4,763 |
4,585 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,426 |
1,392 |
$62K |
| 92083 |
|
1,393 |
1,206 |
$47K |
| V2020 |
Frames, purchases |
1,209 |
1,206 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
570 |
524 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
537 |
444 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,014 |
1,010 |
$13K |
| V2025 |
Deluxe frame |
511 |
461 |
$11K |
| 92133 |
|
460 |
367 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
507 |
504 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
47 |
47 |
$5K |
| 92134 |
|
31 |
27 |
$743.84 |
| 92341 |
|
24 |
24 |
$681.06 |
| 92020 |
|
38 |
24 |
$584.47 |
| 76514 |
|
94 |
70 |
$558.86 |