| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,708 |
9,573 |
$481K |
| 92015 |
Determination of refractive state |
12,049 |
11,755 |
$443K |
| V2020 |
Frames, purchases |
12,079 |
11,711 |
$343K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,721 |
10,394 |
$222K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,056 |
6,864 |
$205K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,031 |
2,945 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,096 |
1,085 |
$72K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,441 |
1,394 |
$63K |
| 92341 |
|
1,689 |
1,638 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,842 |
1,797 |
$39K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,302 |
1,272 |
$33K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
674 |
658 |
$23K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
15 |
$520.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$463.68 |
| 92250 |
|
16 |
12 |
$318.86 |