| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,299 |
1,114 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,355 |
1,805 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
696 |
557 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,742 |
1,380 |
$39K |
| V2020 |
Frames, purchases |
2,548 |
2,347 |
$35K |
| 92015 |
Determination of refractive state |
2,759 |
2,280 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,604 |
1,543 |
$17K |
| 92250 |
|
533 |
395 |
$8K |
| 92134 |
|
898 |
719 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
838 |
690 |
$7K |
| V2799 |
Vision item or service, miscellaneous |
204 |
204 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
50 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
29 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 83861 |
|
216 |
80 |
$783.84 |
| 92133 |
|
69 |
53 |
$607.72 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
12 |
$478.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$459.62 |