| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,382 |
12,286 |
$783K |
| V2020 |
Frames, purchases |
25,680 |
25,576 |
$758K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,350 |
8,303 |
$641K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
23,968 |
23,875 |
$481K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
5,320 |
5,312 |
$240K |
| 92015 |
Determination of refractive state |
20,297 |
20,113 |
$229K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,388 |
4,381 |
$195K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,730 |
11,633 |
$180K |
| 92341 |
|
6,102 |
6,090 |
$140K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,532 |
4,416 |
$58K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,086 |
3,052 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,136 |
1,020 |
$50K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,819 |
1,809 |
$32K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,273 |
1,262 |
$23K |
| 92250 |
|
731 |
725 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,788 |
1,783 |
$13K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
437 |
417 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
145 |
136 |
$7K |
| 92002 |
|
58 |
56 |
$2K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$238.68 |
| V2756 |
Eye glass case |
151 |
151 |
$34.29 |