| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,352 |
6,056 |
$291K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,144 |
3,103 |
$185K |
| 92015 |
Determination of refractive state |
7,364 |
6,975 |
$130K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,256 |
4,096 |
$121K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,791 |
1,664 |
$116K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,769 |
2,889 |
$59K |
| V2020 |
Frames, purchases |
4,049 |
3,911 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,378 |
2,068 |
$46K |
| 68761 |
|
227 |
140 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
459 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
549 |
307 |
$5K |
| 92083 |
|
156 |
144 |
$2K |
| 92134 |
|
149 |
138 |
$973.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$672.21 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$303.16 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
203 |
179 |
$66.18 |
| 83861 |
|
30 |
14 |
$1.06 |
| 2023F |
|
1,014 |
980 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
24 |
24 |
$0.00 |
| 2022F |
|
187 |
187 |
$0.00 |