| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,746 |
2,618 |
$208K |
| V2020 |
Frames, purchases |
1,887 |
1,818 |
$117K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,039 |
995 |
$92K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
685 |
606 |
$32K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,285 |
1,244 |
$32K |
| 92015 |
Determination of refractive state |
1,972 |
1,902 |
$31K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
586 |
573 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
453 |
440 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
145 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$1K |
| 92250 |
|
40 |
37 |
$874.63 |