| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,719 |
3,351 |
$239K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,711 |
1,604 |
$144K |
| V2020 |
Frames, purchases |
5,332 |
4,767 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,298 |
2,804 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,038 |
2,852 |
$36K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
414 |
354 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,611 |
1,436 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
940 |
891 |
$16K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
107 |
106 |
$4K |
| V2781 |
Progressive lens, per lens |
18 |
16 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
58 |
29 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
32 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
78 |
76 |
$706.80 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
40 |
38 |
$641.25 |
| 92341 |
|
28 |
26 |
$284.28 |
| 92342 |
|
14 |
14 |
$160.68 |
| 92015 |
Determination of refractive state |
5,665 |
4,924 |
$0.00 |