| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,962 |
5,813 |
$253K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,431 |
5,285 |
$236K |
| V2020 |
Frames, purchases |
9,853 |
9,567 |
$172K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,665 |
7,461 |
$133K |
| 92015 |
Determination of refractive state |
5,412 |
5,240 |
$124K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,157 |
2,090 |
$121K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,650 |
1,611 |
$108K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,287 |
5,145 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,956 |
1,703 |
$90K |
| 92250 |
|
2,120 |
2,048 |
$68K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,604 |
1,563 |
$62K |
| 92341 |
|
2,011 |
1,962 |
$39K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
751 |
733 |
$30K |
| 92370 |
|
595 |
571 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
81 |
79 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$895.49 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$692.99 |
| 92083 |
|
16 |
12 |
$523.38 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
29 |
27 |
$491.44 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$273.53 |