| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,017 |
5,520 |
$260K |
| 92015 |
Determination of refractive state |
10,276 |
9,428 |
$179K |
| V2025 |
Deluxe frame |
3,214 |
3,043 |
$179K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,895 |
3,551 |
$178K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,224 |
4,782 |
$152K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,573 |
5,133 |
$106K |
| V2020 |
Frames, purchases |
4,247 |
3,878 |
$47K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,765 |
4,387 |
$38K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,129 |
1,054 |
$34K |
| 92341 |
|
810 |
760 |
$23K |
| 92250 |
|
239 |
231 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
181 |
$7K |
| 92133 |
|
225 |
198 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
121 |
106 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
253 |
236 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
50 |
$3K |
| 92083 |
|
24 |
24 |
$844.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
28 |
$768.95 |