| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,232 |
4,825 |
$312K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,144 |
2,059 |
$153K |
| 92015 |
Determination of refractive state |
8,896 |
8,379 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
817 |
816 |
$57K |
| 92083 |
|
865 |
865 |
$36K |
| 92250 |
|
859 |
859 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
533 |
529 |
$26K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
194 |
194 |
$9K |
| 92285 |
|
343 |
341 |
$7K |
| V2025 |
Deluxe frame |
110 |
110 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$4K |
| V2020 |
Frames, purchases |
189 |
189 |
$4K |
| 92020 |
|
31 |
31 |
$603.84 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
24 |
$521.53 |
| 92133 |
|
14 |
14 |
$411.04 |
| 92201 |
|
22 |
22 |
$367.63 |
| 2022F |
|
287 |
256 |
$0.50 |