| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,231 |
2,801 |
$134K |
| 92015 |
Determination of refractive state |
3,672 |
3,339 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,037 |
808 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,157 |
1,035 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,416 |
1,207 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
748 |
603 |
$34K |
| V2020 |
Frames, purchases |
386 |
385 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
102 |
71 |
$14K |
| V2025 |
Deluxe frame |
759 |
574 |
$8K |
| 92083 |
|
250 |
239 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
166 |
$7K |
| 92285 |
|
187 |
167 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
359 |
359 |
$5K |
| 92133 |
|
171 |
158 |
$4K |
| 92250 |
|
85 |
83 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
244 |
244 |
$3K |
| 92341 |
|
86 |
86 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
70 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$2K |