| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,622 |
8,173 |
$724K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,464 |
6,850 |
$479K |
| V2020 |
Frames, purchases |
8,898 |
7,864 |
$134K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,782 |
3,854 |
$99K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,068 |
2,543 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,407 |
1,145 |
$55K |
| 92250 |
|
1,350 |
1,165 |
$39K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
707 |
515 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,464 |
2,911 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,506 |
2,444 |
$33K |
| 92015 |
Determination of refractive state |
10,502 |
9,938 |
$28K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
182 |
146 |
$9K |
| 92341 |
|
340 |
310 |
$4K |
| V2799 |
Vision item or service, miscellaneous |
385 |
368 |
$3K |
| 3072F |
|
89 |
76 |
$470.00 |
| 92133 |
|
26 |
24 |
$398.67 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
21 |
13 |
$285.33 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
17 |
13 |
$188.70 |