| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
12,635 |
12,397 |
$483K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,646 |
9,405 |
$461K |
| 92250 |
|
8,534 |
8,375 |
$337K |
| V2020 |
Frames, purchases |
11,351 |
11,174 |
$332K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,404 |
10,149 |
$219K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
7,379 |
7,285 |
$214K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,752 |
6,645 |
$209K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,309 |
3,254 |
$209K |
| 92060 |
|
5,077 |
4,994 |
$145K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,277 |
3,224 |
$87K |
| 92083 |
|
1,693 |
1,668 |
$72K |
| 92285 |
|
3,221 |
3,154 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,757 |
1,650 |
$55K |
| 92133 |
|
1,381 |
1,346 |
$33K |
| 92283 |
|
344 |
343 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
193 |
184 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
29 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
62 |
62 |
$2K |
| 92341 |
|
70 |
68 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$1K |
| 92020 |
|
65 |
64 |
$812.25 |