| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,073 |
3,696 |
$278K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,461 |
1,340 |
$126K |
| V2020 |
Frames, purchases |
6,155 |
5,198 |
$89K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,352 |
2,824 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,359 |
3,021 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
547 |
479 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,736 |
2,365 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,015 |
967 |
$12K |
| 92015 |
Determination of refractive state |
7,021 |
5,945 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
112 |
$5K |
| 92250 |
|
174 |
124 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
78 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
90 |
$2K |