| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
5,687 |
5,424 |
$214K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,227 |
3,104 |
$174K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,679 |
1,605 |
$136K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,985 |
3,847 |
$68K |
| V2499 |
Variable sphericity lens, other type |
685 |
682 |
$47K |
| 92015 |
Determination of refractive state |
5,414 |
5,120 |
$44K |
| 92083 |
|
1,034 |
970 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
668 |
619 |
$20K |
| V2020 |
Frames, purchases |
934 |
929 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
287 |
$9K |
| 92133 |
|
579 |
552 |
$7K |
| V2755 |
U-v lens, per lens |
917 |
912 |
$4K |
| 92341 |
|
194 |
188 |
$3K |
| 92284 |
|
512 |
460 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
107 |
103 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
60 |
59 |
$2K |
| 92275 |
|
43 |
43 |
$550.00 |
| 92283 |
|
34 |
28 |
$312.00 |
| 92025 |
|
15 |
15 |
$36.00 |
| 92145 |
|
411 |
400 |
$0.00 |