| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,677 |
6,237 |
$437K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,214 |
2,087 |
$175K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,921 |
6,497 |
$153K |
| 92015 |
Determination of refractive state |
7,564 |
7,039 |
$127K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,238 |
1,975 |
$73K |
| 65778 |
|
187 |
144 |
$64K |
| V2020 |
Frames, purchases |
3,272 |
3,048 |
$62K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,440 |
2,310 |
$60K |
| 92250 |
|
1,323 |
1,266 |
$15K |
| 83861 |
|
3,399 |
1,950 |
$10K |
| 92083 |
|
206 |
186 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$2K |
| 92284 |
|
120 |
117 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
38 |
38 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
15 |
$990.48 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$375.00 |
| 92275 |
|
33 |
28 |
$364.44 |
| V2744 |
Tint, photochromatic, per lens |
14 |
12 |
$0.00 |
| 3072F |
|
140 |
133 |
$0.00 |