| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,243 |
7,432 |
$532K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,209 |
3,816 |
$339K |
| 92015 |
Determination of refractive state |
9,042 |
8,155 |
$66K |
| 92250 |
|
1,346 |
1,191 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
777 |
630 |
$30K |
| V2020 |
Frames, purchases |
475 |
471 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
155 |
154 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
253 |
246 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
43 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
28 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
16 |
$454.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$192.66 |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$88.92 |
| 2026F |
|
86 |
85 |
$0.00 |