| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,777 |
1,180 |
$114K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
784 |
689 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
674 |
567 |
$44K |
| 92060 |
|
827 |
679 |
$29K |
| V2020 |
Frames, purchases |
1,090 |
958 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
209 |
$23K |
| 92015 |
Determination of refractive state |
1,137 |
957 |
$15K |
| 92370 |
|
725 |
626 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
310 |
284 |
$13K |
| 92250 |
|
400 |
261 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
230 |
171 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
50 |
44 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
124 |
$4K |
| 92025 |
|
123 |
98 |
$2K |
| 92133 |
|
81 |
64 |
$2K |
| 92083 |
|
120 |
58 |
$1K |
| 92134 |
|
37 |
29 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
52 |
$699.60 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
20 |
14 |
$157.35 |