| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,859 |
6,528 |
$486K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,241 |
3,981 |
$361K |
| V2020 |
Frames, purchases |
10,661 |
9,870 |
$174K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,643 |
6,197 |
$137K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,962 |
8,496 |
$115K |
| 92015 |
Determination of refractive state |
3,385 |
3,231 |
$91K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,733 |
2,552 |
$48K |
| 92082 |
|
1,098 |
1,059 |
$42K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,187 |
1,100 |
$28K |
| 92250 |
|
1,682 |
1,565 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,027 |
934 |
$11K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
246 |
234 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
307 |
286 |
$5K |
| V2799 |
Vision item or service, miscellaneous |
356 |
352 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
52 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19 |
14 |
$971.89 |
| 99072 |
|
413 |
370 |
$0.00 |
| 3072F |
|
1,479 |
1,377 |
$0.00 |