| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,549 |
1,324 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,052 |
909 |
$47K |
| 92015 |
Determination of refractive state |
2,357 |
2,028 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,202 |
1,004 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
643 |
535 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
496 |
414 |
$22K |
| V2020 |
Frames, purchases |
537 |
526 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
34 |
28 |
$6K |
| 92083 |
|
155 |
148 |
$5K |
| 92133 |
|
218 |
208 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
269 |
269 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
76 |
73 |
$3K |
| V2025 |
Deluxe frame |
225 |
161 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
148 |
148 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
26 |
25 |
$1K |
| S0581 |
Nonstandard lens (list this code in addition to the basic code for the lens) |
14 |
14 |
$0.00 |