| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,499 |
12,435 |
$925K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,451 |
5,065 |
$459K |
| V2020 |
Frames, purchases |
14,368 |
12,978 |
$206K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,037 |
6,920 |
$118K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,802 |
8,238 |
$111K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,139 |
1,323 |
$73K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,197 |
2,841 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,515 |
3,186 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
922 |
710 |
$37K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,460 |
964 |
$17K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
716 |
486 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
107 |
81 |
$3K |
| 92015 |
Determination of refractive state |
665 |
600 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$506.67 |
| 92083 |
|
17 |
12 |
$481.84 |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
18 |
12 |
$166.05 |
| 3072F |
|
235 |
217 |
$0.00 |