| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,788 |
6,445 |
$487K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,932 |
2,729 |
$249K |
| V2020 |
Frames, purchases |
10,998 |
10,112 |
$167K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,126 |
2,694 |
$148K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,020 |
5,647 |
$107K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,535 |
7,090 |
$92K |
| 92285 |
|
2,994 |
2,581 |
$66K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,319 |
2,160 |
$49K |
| 92083 |
|
862 |
750 |
$37K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
481 |
436 |
$27K |
| 92133 |
|
815 |
733 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,001 |
900 |
$11K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
261 |
250 |
$5K |
| V2025 |
Deluxe frame |
147 |
113 |
$4K |
| 92134 |
|
309 |
238 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
61 |
59 |
$1K |
| 92250 |
|
34 |
25 |
$1K |
| V2781 |
Progressive lens, per lens |
12 |
12 |
$808.92 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
282 |
239 |
$570.01 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
18 |
12 |
$523.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$490.07 |
| V2299 |
Specialty bifocal (by report) |
12 |
12 |
$344.32 |
| 92015 |
Determination of refractive state |
8,963 |
8,305 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
161 |
144 |
$0.00 |