| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,728 |
15,164 |
$1.13M |
| 92273 |
|
8,686 |
8,680 |
$807K |
| 92083 |
|
14,763 |
14,749 |
$733K |
| 92250 |
|
17,813 |
17,798 |
$710K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
10,438 |
10,260 |
$628K |
| 95930 |
|
9,054 |
9,049 |
$592K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,618 |
5,570 |
$556K |
| 92020 |
|
10,780 |
10,771 |
$216K |
| 92133 |
|
5,248 |
5,238 |
$152K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
1,292 |
1,281 |
$101K |
| V2020 |
Frames, purchases |
3,992 |
3,984 |
$92K |
| 92134 |
|
2,484 |
2,462 |
$77K |
| 92275 |
|
608 |
607 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
942 |
917 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,723 |
1,717 |
$49K |
| 92201 |
|
2,638 |
2,615 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,952 |
1,471 |
$46K |
| 92226 |
|
1,785 |
1,113 |
$44K |
| 92015 |
Determination of refractive state |
1,775 |
1,775 |
$28K |
| 92202 |
|
2,543 |
2,525 |
$27K |
| 65855 |
|
124 |
103 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,250 |
784 |
$22K |
| 68761 |
|
242 |
121 |
$19K |
| 92225 |
|
669 |
413 |
$17K |
| 0509T |
|
298 |
298 |
$12K |
| 92286 |
|
275 |
275 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
60 |
$5K |
| 76514 |
|
539 |
539 |
$5K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
40 |
40 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
258 |
127 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
412 |
206 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
57 |
57 |
$1K |