| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,446 |
6,070 |
$354K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,443 |
4,428 |
$229K |
| 92083 |
|
4,343 |
4,295 |
$175K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,796 |
1,795 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,585 |
1,759 |
$72K |
| V2020 |
Frames, purchases |
5,004 |
4,837 |
$62K |
| 92133 |
|
2,692 |
2,673 |
$62K |
| 92020 |
|
2,434 |
2,417 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,833 |
933 |
$38K |
| 92134 |
|
346 |
340 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
117 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
9,487 |
4,658 |
$4K |
| 92250 |
|
69 |
69 |
$2K |
| 92285 |
|
439 |
435 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
28 |
28 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
24 |
12 |
$685.92 |
| 92015 |
Determination of refractive state |
97 |
97 |
$0.00 |