| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,261 |
3,908 |
$183K |
| 92015 |
Determination of refractive state |
7,205 |
6,587 |
$129K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,833 |
2,567 |
$128K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,487 |
3,181 |
$102K |
| 92250 |
|
1,999 |
1,831 |
$80K |
| V2025 |
Deluxe frame |
2,129 |
1,962 |
$77K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,469 |
3,191 |
$57K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,914 |
2,639 |
$23K |
| V2020 |
Frames, purchases |
2,357 |
2,172 |
$22K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
383 |
343 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
375 |
348 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
260 |
$9K |
| 92341 |
|
303 |
273 |
$9K |
| 92133 |
|
196 |
192 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
28 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
116 |
108 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
20 |
$900.00 |