| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92285 |
|
3,731 |
3,275 |
$90K |
| 92250 |
|
2,049 |
1,811 |
$76K |
| 92083 |
|
2,024 |
1,795 |
$68K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,522 |
1,199 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,426 |
2,180 |
$63K |
| 92015 |
Determination of refractive state |
3,750 |
3,542 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
766 |
650 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
830 |
748 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
944 |
916 |
$41K |
| 68761 |
|
265 |
254 |
$30K |
| 83861 |
|
1,274 |
615 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
514 |
502 |
$14K |
| 92133 |
|
601 |
571 |
$14K |
| V2025 |
Deluxe frame |
601 |
530 |
$8K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
138 |
135 |
$6K |
| 92134 |
|
269 |
256 |
$6K |
| 67820 |
|
276 |
264 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
87 |
$3K |
| 83516 |
|
210 |
58 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
62 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
25 |
25 |
$1K |
| V2020 |
Frames, purchases |
247 |
235 |
$1K |
| 76514 |
|
139 |
124 |
$886.42 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
164 |
159 |
$406.90 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
44 |
$0.00 |