| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,442 |
3,165 |
$229K |
| 92015 |
Determination of refractive state |
6,901 |
6,313 |
$214K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,085 |
1,927 |
$180K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,236 |
2,619 |
$102K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,433 |
3,216 |
$97K |
| 92250 |
|
2,351 |
1,863 |
$64K |
| V2020 |
Frames, purchases |
3,047 |
2,814 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
881 |
$45K |
| 92285 |
|
2,290 |
1,249 |
$35K |
| 92083 |
|
999 |
782 |
$31K |
| 92133 |
|
1,015 |
803 |
$21K |
| 92275 |
|
364 |
271 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,542 |
1,400 |
$18K |
| 95930 |
|
427 |
316 |
$17K |
| 92060 |
|
448 |
383 |
$15K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
249 |
117 |
$12K |
| 99215 |
Prolong outpt/office vis |
178 |
127 |
$9K |
| 92145 |
|
1,289 |
994 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
647 |
467 |
$8K |
| 92273 |
|
154 |
131 |
$8K |
| 92134 |
|
432 |
315 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174 |
157 |
$6K |
| 92132 |
|
382 |
282 |
$4K |
| 92025 |
|
179 |
137 |
$3K |
| 76514 |
|
508 |
390 |
$3K |
| 0509T |
|
14 |
13 |
$719.52 |
| 2023F |
|
140 |
135 |
$0.00 |
| 3072F |
|
14 |
14 |
$0.00 |