| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,961 |
3,859 |
$116K |
| V2020 |
Frames, purchases |
5,360 |
5,227 |
$103K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,835 |
2,764 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,604 |
2,511 |
$79K |
| 92015 |
Determination of refractive state |
5,264 |
5,146 |
$62K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,094 |
4,973 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
835 |
813 |
$22K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
378 |
368 |
$18K |
| 92250 |
|
522 |
499 |
$13K |
| 92310 |
|
167 |
158 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127 |
112 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
151 |
145 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
128 |
124 |
$4K |
| 92341 |
|
237 |
232 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
113 |
112 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$174.16 |
| V2025 |
Deluxe frame |
119 |
116 |
$0.00 |