| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,911 |
7,522 |
$537K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,035 |
5,919 |
$516K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,240 |
5,026 |
$184K |
| 92015 |
Determination of refractive state |
20,918 |
17,527 |
$168K |
| V2020 |
Frames, purchases |
5,571 |
5,317 |
$90K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,613 |
5,369 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,299 |
2,216 |
$60K |
| 92250 |
|
2,582 |
2,115 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,028 |
1,625 |
$49K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,393 |
1,312 |
$35K |
| 93886 |
|
420 |
279 |
$20K |
| 93892 |
|
416 |
277 |
$18K |
| 93890 |
|
416 |
277 |
$7K |
| 83861 |
|
1,132 |
496 |
$6K |
| 92134 |
|
487 |
422 |
$5K |
| 92133 |
|
519 |
439 |
$5K |
| 92285 |
|
313 |
245 |
$5K |
| 92083 |
|
223 |
186 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
27 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
32 |
28 |
$2K |
| 83516 |
|
522 |
224 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
177 |
176 |
$2K |
| 92145 |
|
279 |
224 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$869.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
29 |
$690.25 |