| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,296 |
1,207 |
$46K |
| 92015 |
Determination of refractive state |
2,098 |
1,768 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
808 |
694 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
952 |
881 |
$21K |
| 92020 |
|
1,014 |
923 |
$15K |
| 92083 |
|
490 |
440 |
$14K |
| 92250 |
|
591 |
545 |
$12K |
| 92226 |
|
487 |
231 |
$7K |
| 92201 |
|
187 |
162 |
$2K |
| 92225 |
|
99 |
51 |
$2K |
| 92025 |
|
77 |
76 |
$1K |
| 83861 |
|
52 |
48 |
$1K |
| 92285 |
|
67 |
66 |
$1K |
| 92081 |
|
28 |
27 |
$683.15 |
| 92202 |
|
109 |
102 |
$548.35 |
| 76519 |
|
15 |
13 |
$463.11 |
| V2020 |
Frames, purchases |
1,152 |
1,101 |
$360.20 |
| 92134 |
|
13 |
13 |
$287.04 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,240 |
612 |
$242.40 |
| 92133 |
|
13 |
12 |
$155.89 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
192 |
87 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
39 |
39 |
$0.00 |