| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,473 |
14,931 |
$1.09M |
| V2020 |
Frames, purchases |
23,837 |
22,726 |
$1.05M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,463 |
10,031 |
$991K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13,815 |
13,188 |
$530K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,938 |
6,622 |
$295K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
23,794 |
22,685 |
$221K |
| 92015 |
Determination of refractive state |
28,642 |
27,452 |
$169K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,365 |
3,230 |
$130K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
944 |
922 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
441 |
$17K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
360 |
333 |
$16K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
24 |
24 |
$1K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
16,488 |
15,779 |
$115.30 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
23,177 |
22,174 |
$0.00 |