| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
4,430 |
4,389 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,780 |
2,722 |
$150K |
| 92082 |
|
2,008 |
1,976 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,376 |
2,156 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
641 |
636 |
$50K |
| V2020 |
Frames, purchases |
3,613 |
3,590 |
$43K |
| 92015 |
Determination of refractive state |
511 |
507 |
$7K |
| 92081 |
|
209 |
205 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
68 |
$3K |
| 92225 |
|
174 |
93 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
119 |
119 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
39 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
369 |
190 |
$442.96 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
50 |
25 |
$369.72 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
18 |
15 |
$354.63 |
| 2033F |
|
24 |
24 |
$0.00 |