| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
7,020 |
6,464 |
$230K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,304 |
4,049 |
$220K |
| 92015 |
Determination of refractive state |
6,253 |
5,802 |
$167K |
| 92285 |
|
5,403 |
4,813 |
$119K |
| V2020 |
Frames, purchases |
5,469 |
5,152 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,051 |
3,750 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,636 |
1,522 |
$96K |
| 92083 |
|
2,323 |
2,151 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,192 |
1,112 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,012 |
2,984 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,047 |
976 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
785 |
729 |
$45K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,911 |
1,775 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
246 |
228 |
$25K |
| 92283 |
|
1,120 |
1,063 |
$23K |
| 92145 |
|
1,638 |
1,504 |
$13K |
| 92082 |
|
313 |
293 |
$12K |
| 92025 |
|
537 |
513 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
132 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
158 |
140 |
$3K |
| 92133 |
|
121 |
110 |
$3K |
| 95930 |
|
85 |
77 |
$3K |
| V2025 |
Deluxe frame |
36 |
36 |
$2K |
| 92060 |
|
30 |
30 |
$1K |
| 92275 |
|
16 |
13 |
$1K |
| 92284 |
|
42 |
39 |
$772.92 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
46 |
36 |
$655.00 |
| 99199 |
Unlisted special service, procedure or report |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
35 |
26 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
20 |
12 |
$0.00 |