| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12,882 |
10,843 |
$1.75M |
| 92273 |
|
6,203 |
2,729 |
$686K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,219 |
2,024 |
$529K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,708 |
1,544 |
$392K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,739 |
3,623 |
$142K |
| 92060 |
|
27,090 |
14,049 |
$137K |
| 68761 |
|
750 |
328 |
$106K |
| 95930 |
|
6,236 |
2,736 |
$79K |
| 92083 |
|
8,706 |
4,037 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
141 |
135 |
$37K |
| 92133 |
|
7,042 |
3,108 |
$30K |
| 92250 |
|
8,071 |
4,039 |
$26K |
| 92015 |
Determination of refractive state |
4,246 |
3,768 |
$13K |
| 99205 |
Prolong outpt/office vis |
38 |
37 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,736 |
3,620 |
$7K |
| V2020 |
Frames, purchases |
3,409 |
3,325 |
$5K |
| 92202 |
|
1,669 |
1,493 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,482 |
3,367 |
$2K |
| 92226 |
|
677 |
311 |
$40.00 |
| 92020 |
|
188 |
167 |
$21.72 |
| V2755 |
U-v lens, per lens |
32 |
28 |
$0.00 |
| 92225 |
|
1,009 |
424 |
$0.00 |
| V2025 |
Deluxe frame |
23 |
13 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
173 |
157 |
$0.00 |
| 92134 |
|
52 |
12 |
$0.00 |