| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,051 |
4,466 |
$161K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,299 |
2,955 |
$127K |
| V2020 |
Frames, purchases |
4,217 |
3,841 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,984 |
3,182 |
$96K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,719 |
1,571 |
$96K |
| 92250 |
|
3,325 |
2,839 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,506 |
3,184 |
$69K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,323 |
2,140 |
$61K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,841 |
1,647 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,116 |
1,015 |
$27K |
| 92341 |
|
597 |
533 |
$13K |
| 92083 |
|
459 |
399 |
$13K |
| 92082 |
|
213 |
160 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
161 |
138 |
$5K |
| 83861 |
|
404 |
177 |
$4K |
| 92060 |
|
137 |
115 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
53 |
$987.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$643.39 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
21 |
12 |
$608.26 |
| 92145 |
|
54 |
42 |
$226.55 |
| V2715 |
Prism, per lens |
32 |
26 |
$166.05 |