| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,217 |
7,638 |
$479K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,375 |
2,175 |
$183K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,555 |
3,925 |
$152K |
| V2020 |
Frames, purchases |
7,041 |
6,574 |
$124K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,637 |
3,345 |
$93K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,462 |
5,180 |
$68K |
| 92015 |
Determination of refractive state |
3,040 |
2,997 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
958 |
744 |
$19K |
| 92250 |
|
484 |
401 |
$10K |
| 92002 |
|
115 |
114 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
182 |
157 |
$4K |
| 92083 |
|
111 |
107 |
$3K |
| 92133 |
|
172 |
144 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$638.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$573.13 |
| 76519 |
|
27 |
26 |
$388.80 |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$179.62 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
30 |
12 |
$0.00 |
| 3072F |
|
30 |
30 |
$0.00 |