| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,700 |
1,651 |
$74K |
| V2020 |
Frames, purchases |
2,375 |
2,283 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
689 |
$30K |
| 92082 |
|
616 |
591 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
988 |
969 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
221 |
215 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
295 |
290 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66 |
65 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
131 |
120 |
$2K |
| 92083 |
|
14 |
13 |
$608.66 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
128 |
124 |
$536.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41 |
39 |
$285.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$190.50 |
| 92015 |
Determination of refractive state |
52 |
50 |
$27.99 |