| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36,572 |
35,023 |
$3.30M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,984 |
13,979 |
$2.09M |
| 92083 |
|
6,707 |
6,650 |
$443K |
| 92250 |
|
6,946 |
6,941 |
$286K |
| 92015 |
Determination of refractive state |
15,931 |
15,826 |
$241K |
| 92133 |
|
5,089 |
5,084 |
$194K |
| 92020 |
|
6,474 |
6,470 |
$182K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
11,141 |
5,974 |
$181K |
| 92060 |
|
2,187 |
2,187 |
$141K |
| V2020 |
Frames, purchases |
7,009 |
6,998 |
$71K |
| 76514 |
|
4,863 |
4,860 |
$48K |
| 92226 |
|
1,038 |
903 |
$26K |
| 92225 |
|
713 |
622 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
255 |
243 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
142 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
878 |
439 |
$9K |
| 66761 |
|
26 |
16 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
413 |
413 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,788 |
2,444 |
$806.00 |
| 2022F |
|
511 |
509 |
$0.32 |
| 99072 |
|
515 |
489 |
$0.00 |