| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,452 |
5,174 |
$206K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,670 |
2,509 |
$120K |
| 92015 |
Determination of refractive state |
6,013 |
5,749 |
$105K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,877 |
2,686 |
$80K |
| 92341 |
|
1,548 |
1,377 |
$41K |
| 68761 |
|
626 |
444 |
$40K |
| V2020 |
Frames, purchases |
1,801 |
1,676 |
$23K |
| 83861 |
|
1,047 |
700 |
$23K |
| 92083 |
|
794 |
742 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
756 |
681 |
$19K |
| V2025 |
Deluxe frame |
390 |
368 |
$15K |
| 83516 |
|
828 |
615 |
$10K |
| 92250 |
|
275 |
247 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
213 |
$9K |
| 92133 |
|
407 |
382 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
974 |
776 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
315 |
301 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
686 |
561 |
$6K |
| 92020 |
|
127 |
122 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
180 |
133 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
137 |
120 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
12 |
$577.85 |
| 99072 |
|
15 |
15 |
$10.00 |
| 3072F |
|
36 |
31 |
$0.00 |