| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,431 |
13,245 |
$210K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,613 |
7,530 |
$121K |
| V2020 |
Frames, purchases |
13,207 |
13,100 |
$50K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
21,301 |
12,202 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,875 |
1,727 |
$45K |
| 92250 |
|
894 |
847 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,391 |
3,770 |
$23K |
| 92015 |
Determination of refractive state |
11,640 |
11,583 |
$16K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,384 |
1,338 |
$6K |
| 92285 |
|
70 |
69 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
264 |
264 |
$2K |
| 3072F |
|
1,858 |
1,788 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
59 |
59 |
$0.00 |
| 2033F |
|
13 |
13 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
84 |
42 |
$0.00 |
| V2500 |
Contact lens, pmma, spherical, per lens |
40 |
40 |
$0.00 |
| 2026F |
|
335 |
327 |
$0.00 |
| 2025F |
|
14 |
14 |
$0.00 |