| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,395 |
3,255 |
$164K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,441 |
2,370 |
$126K |
| V2020 |
Frames, purchases |
1,054 |
1,041 |
$55K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
826 |
809 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
542 |
407 |
$32K |
| 92250 |
|
1,121 |
1,017 |
$25K |
| V2025 |
Deluxe frame |
237 |
237 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
144 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
102 |
79 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
515 |
509 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
25 |
$2K |
| 92015 |
Determination of refractive state |
1,375 |
1,302 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
43 |
42 |
$1K |