| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
21,330 |
9,355 |
$865K |
| 92015 |
Determination of refractive state |
15,254 |
14,623 |
$449K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,846 |
6,572 |
$391K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,948 |
9,385 |
$381K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,663 |
7,321 |
$340K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,171 |
2,994 |
$238K |
| 96112 |
|
929 |
884 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
978 |
948 |
$65K |
| 92370 |
|
1,995 |
1,926 |
$63K |
| 96113 |
|
922 |
871 |
$57K |
| 92060 |
|
1,216 |
1,164 |
$46K |
| S0512 |
Daily wear specialty contact lens, per lens |
78 |
63 |
$16K |
| 95930 |
|
369 |
351 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
520 |
514 |
$14K |
| V2020 |
Frames, purchases |
1,202 |
1,194 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
421 |
417 |
$11K |
| 96111 |
|
118 |
112 |
$8K |
| S0592 |
Comprehensive contact lens evaluation |
91 |
74 |
$4K |
| V2799 |
Vision item or service, miscellaneous |
140 |
135 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
82 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
64 |
64 |
$781.20 |
| 92270 |
|
12 |
12 |
$188.42 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
833 |
821 |
$0.00 |