| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,186 |
2,146 |
$204K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,128 |
1,128 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,937 |
1,853 |
$135K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,021 |
1,015 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,392 |
1,364 |
$104K |
| 92202 |
|
3,446 |
3,436 |
$51K |
| V2020 |
Frames, purchases |
1,703 |
1,699 |
$48K |
| 92226 |
|
1,210 |
1,154 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,387 |
791 |
$35K |
| 92015 |
Determination of refractive state |
2,788 |
2,737 |
$24K |
| 92225 |
|
575 |
542 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
501 |
497 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,507 |
888 |
$10K |
| 92250 |
|
284 |
279 |
$7K |
| 92133 |
|
131 |
129 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
43 |
42 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
21 |
12 |
$772.28 |
| 92134 |
|
26 |
26 |
$439.21 |
| 92201 |
|
13 |
13 |
$213.65 |
| 92285 |
|
15 |
15 |
$62.26 |