| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,639 |
10,168 |
$567K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,382 |
4,470 |
$329K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,714 |
11,631 |
$180K |
| 92015 |
Determination of refractive state |
23,864 |
14,351 |
$112K |
| 92250 |
|
3,756 |
2,386 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,663 |
1,667 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,653 |
1,117 |
$49K |
| 92341 |
|
1,650 |
1,134 |
$18K |
| V2499 |
Variable sphericity lens, other type |
332 |
267 |
$18K |
| V2020 |
Frames, purchases |
423 |
361 |
$11K |
| 68761 |
|
264 |
80 |
$10K |
| 92083 |
|
223 |
154 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
173 |
143 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
73 |
73 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
43 |
24 |
$2K |
| V2755 |
U-v lens, per lens |
377 |
290 |
$1K |
| 92273 |
|
22 |
12 |
$952.38 |
| 92133 |
|
42 |
24 |
$553.98 |
| 92020 |
|
47 |
40 |
$376.93 |
| 92370 |
|
39 |
26 |
$136.76 |
| 92283 |
|
18 |
13 |
$120.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
42 |
37 |
$0.15 |