| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,050 |
1,993 |
$143K |
| 92015 |
Determination of refractive state |
4,061 |
3,907 |
$91K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,795 |
1,649 |
$79K |
| V2020 |
Frames, purchases |
3,165 |
3,012 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,216 |
1,126 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
415 |
401 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,842 |
2,683 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
821 |
788 |
$33K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,555 |
1,450 |
$28K |
| 92250 |
|
804 |
777 |
$26K |
| 92370 |
|
2,254 |
2,099 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
282 |
265 |
$11K |
| 92133 |
|
359 |
346 |
$9K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
88 |
87 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
150 |
148 |
$8K |
| 92083 |
|
188 |
181 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
81 |
80 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
111 |
107 |
$6K |
| 92341 |
|
159 |
153 |
$3K |
| 92342 |
|
113 |
106 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$1K |
| 92202 |
|
130 |
122 |
$990.77 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
28 |
26 |
$576.04 |
| 92145 |
|
14 |
14 |
$92.84 |
| 99072 |
|
13 |
13 |
$0.00 |