| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,929 |
6,610 |
$353K |
| 92015 |
Determination of refractive state |
9,050 |
8,724 |
$196K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,232 |
2,137 |
$137K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,504 |
5,397 |
$126K |
| 92250 |
|
2,200 |
2,078 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,077 |
896 |
$33K |
| V2020 |
Frames, purchases |
4,239 |
4,101 |
$20K |
| 92083 |
|
548 |
523 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,292 |
1,237 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,317 |
2,265 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,811 |
1,693 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
167 |
$6K |
| 92134 |
|
223 |
218 |
$3K |
| 92133 |
|
95 |
87 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
70 |
63 |
$97.00 |
| 1036F |
|
1,905 |
1,605 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
41 |
38 |
$0.00 |
| 2033F |
|
817 |
798 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
614 |
528 |
$0.00 |
| 4000F |
|
313 |
254 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
95 |
89 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
46 |
42 |
$0.00 |
| 2026F |
|
1,274 |
1,218 |
$0.00 |
| 2024F |
|
32 |
29 |
$0.00 |