| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,861 |
13,087 |
$926K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,354 |
7,862 |
$751K |
| V2020 |
Frames, purchases |
18,928 |
17,792 |
$728K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,775 |
10,066 |
$365K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,132 |
5,773 |
$230K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
18,823 |
17,690 |
$167K |
| 92015 |
Determination of refractive state |
23,793 |
22,338 |
$134K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,129 |
1,999 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
771 |
729 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
54 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$834.72 |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
12 |
12 |
$527.20 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
12,782 |
12,025 |
$280.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$130.88 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,044 |
16,974 |
$0.00 |