| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,245 |
4,121 |
$180K |
| 92015 |
Determination of refractive state |
9,026 |
8,660 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,910 |
2,721 |
$102K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,011 |
2,730 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,451 |
3,323 |
$93K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,051 |
1,983 |
$91K |
| 92250 |
|
1,997 |
1,921 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
858 |
$43K |
| V2020 |
Frames, purchases |
1,228 |
1,217 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
771 |
689 |
$39K |
| V2025 |
Deluxe frame |
628 |
563 |
$24K |
| 92083 |
|
530 |
498 |
$19K |
| 92133 |
|
770 |
751 |
$19K |
| 92025 |
|
986 |
959 |
$18K |
| 83861 |
|
808 |
503 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,057 |
1,047 |
$14K |
| 92002 |
|
396 |
385 |
$11K |
| 92285 |
|
304 |
279 |
$9K |
| 92273 |
|
113 |
111 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
643 |
638 |
$7K |
| 92134 |
|
224 |
214 |
$5K |
| 92341 |
|
130 |
121 |
$4K |
| 68761 |
|
39 |
25 |
$3K |
| 76514 |
|
319 |
293 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
64 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$674.88 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
40 |
38 |
$363.69 |