| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,936 |
6,720 |
$284K |
| 92015 |
Determination of refractive state |
6,315 |
6,150 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,783 |
2,409 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,056 |
2,007 |
$115K |
| V2020 |
Frames, purchases |
6,832 |
6,489 |
$114K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,035 |
4,749 |
$90K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,259 |
2,146 |
$86K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,308 |
3,166 |
$55K |
| V2750 |
Anti-reflective coating, per lens |
1,525 |
1,428 |
$38K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
652 |
623 |
$23K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
203 |
185 |
$22K |
| V2744 |
Tint, photochromatic, per lens |
291 |
274 |
$6K |
| 92341 |
|
134 |
131 |
$3K |
| 68761 |
|
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$666.24 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
14 |
$600.82 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
72 |
72 |
$580.12 |
| 92250 |
|
14 |
12 |
$345.63 |
| 92133 |
|
12 |
12 |
$307.34 |
| V2799 |
Vision item or service, miscellaneous |
15 |
13 |
$163.25 |