| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,858 |
6,562 |
$356K |
| V2020 |
Frames, purchases |
5,306 |
5,264 |
$205K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,278 |
2,217 |
$134K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,386 |
2,309 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,406 |
1,318 |
$90K |
| 92015 |
Determination of refractive state |
9,451 |
8,820 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,681 |
1,508 |
$77K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,727 |
1,704 |
$47K |
| V2025 |
Deluxe frame |
551 |
550 |
$25K |
| 92250 |
|
865 |
751 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,396 |
1,394 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
549 |
374 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
302 |
299 |
$14K |
| 68761 |
|
65 |
25 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$1K |
| 92285 |
|
104 |
91 |
$1K |
| 92083 |
|
14 |
12 |
$293.25 |
| 92133 |
|
14 |
12 |
$147.95 |