| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,371 |
1,263 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
671 |
623 |
$50K |
| V2020 |
Frames, purchases |
1,444 |
1,258 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
891 |
781 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,641 |
1,436 |
$17K |
| 92015 |
Determination of refractive state |
1,892 |
1,747 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
268 |
$12K |
| 92273 |
|
76 |
72 |
$4K |
| 92083 |
|
119 |
95 |
$3K |
| 95930 |
|
71 |
64 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
67 |
$2K |
| 92250 |
|
87 |
71 |
$2K |
| 92283 |
|
106 |
85 |
$1K |
| 92275 |
|
26 |
26 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$293.70 |
| 0509T |
|
44 |
13 |
$250.00 |
| 2026F |
|
19 |
19 |
$0.00 |