| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,390 |
4,662 |
$229K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,829 |
3,467 |
$171K |
| 92015 |
Determination of refractive state |
9,375 |
8,313 |
$169K |
| V2025 |
Deluxe frame |
2,013 |
1,899 |
$131K |
| 92250 |
|
2,407 |
2,109 |
$101K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,967 |
2,487 |
$88K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,223 |
2,761 |
$63K |
| V2020 |
Frames, purchases |
2,233 |
1,787 |
$27K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
782 |
677 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,455 |
2,000 |
$18K |
| 92341 |
|
568 |
471 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
340 |
$9K |
| 92083 |
|
178 |
175 |
$6K |
| 92133 |
|
184 |
180 |
$4K |
| 92020 |
|
131 |
129 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
47 |
47 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$647.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$540.80 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
18 |
$303.28 |