| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,685 |
4,353 |
$358K |
| V2020 |
Frames, purchases |
3,044 |
2,674 |
$129K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,006 |
939 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,779 |
1,531 |
$91K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,324 |
1,225 |
$87K |
| 92015 |
Determination of refractive state |
5,388 |
5,055 |
$82K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,527 |
1,013 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
723 |
$44K |
| V2755 |
U-v lens, per lens |
808 |
647 |
$18K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
219 |
153 |
$12K |
| 92083 |
|
154 |
137 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
48 |
37 |
$2K |
| 92133 |
|
69 |
63 |
$2K |
| 92134 |
|
29 |
25 |
$482.81 |