| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,319 |
3,260 |
$165K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,086 |
1,061 |
$63K |
| 92060 |
|
1,334 |
1,318 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,062 |
908 |
$34K |
| 92250 |
|
1,906 |
1,851 |
$22K |
| 76512 |
|
1,034 |
1,004 |
$16K |
| V2020 |
Frames, purchases |
2,645 |
2,615 |
$16K |
| 92015 |
Determination of refractive state |
3,099 |
3,042 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,915 |
1,598 |
$12K |
| 92285 |
|
1,691 |
1,622 |
$12K |
| 92286 |
|
910 |
888 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
339 |
303 |
$9K |
| 92283 |
|
1,228 |
1,188 |
$4K |
| 92083 |
|
176 |
171 |
$4K |
| 92273 |
|
160 |
153 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
51 |
50 |
$3K |
| 76514 |
|
901 |
837 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
97 |
$3K |
| 92025 |
|
670 |
647 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
338 |
296 |
$2K |
| 92100 |
|
74 |
69 |
$934.14 |
| 92133 |
|
95 |
93 |
$756.03 |
| 92201 |
|
119 |
116 |
$664.40 |
| 92020 |
|
61 |
59 |
$221.73 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
577 |
568 |
$178.26 |
| V2025 |
Deluxe frame |
439 |
399 |
$12.64 |
| 92341 |
|
45 |
45 |
$0.00 |