| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,246 |
5,532 |
$335K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,497 |
3,948 |
$317K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,052 |
7,264 |
$124K |
| 92015 |
Determination of refractive state |
11,409 |
10,030 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,599 |
1,346 |
$53K |
| V2750 |
Anti-reflective coating, per lens |
1,155 |
551 |
$42K |
| V2020 |
Frames, purchases |
2,380 |
2,254 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,504 |
1,306 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,493 |
2,175 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
308 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
999 |
544 |
$9K |
| 92341 |
|
110 |
93 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
84 |
45 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
32 |
31 |
$856.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
135 |
96 |
$352.73 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
26 |
14 |
$239.76 |
| 99307 |
|
29 |
22 |
$21.55 |