| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
9,155 |
8,188 |
$308K |
| 92250 |
|
6,649 |
6,110 |
$258K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,391 |
4,906 |
$253K |
| 92286 |
|
3,005 |
2,798 |
$195K |
| V2020 |
Frames, purchases |
4,700 |
4,285 |
$127K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,062 |
3,293 |
$112K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,897 |
3,547 |
$104K |
| 83861 |
|
7,520 |
3,439 |
$97K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,392 |
4,007 |
$88K |
| 92025 |
|
5,183 |
2,600 |
$81K |
| 92060 |
|
2,747 |
2,554 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,117 |
1,071 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
959 |
$59K |
| 92020 |
|
2,483 |
2,212 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
773 |
396 |
$11K |
| 76512 |
|
171 |
93 |
$10K |
| 92083 |
|
183 |
166 |
$7K |
| 92081 |
|
223 |
216 |
$6K |
| 92100 |
|
90 |
86 |
$4K |
| 92285 |
|
135 |
126 |
$3K |
| 76514 |
|
307 |
205 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
25 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
68 |
41 |
$1K |
| 92341 |
|
13 |
13 |
$318.63 |
| 92133 |
|
13 |
12 |
$307.80 |