| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,153 |
1,988 |
$153K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,434 |
1,309 |
$120K |
| V2020 |
Frames, purchases |
3,950 |
3,552 |
$57K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,071 |
2,804 |
$38K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,350 |
1,206 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,475 |
1,343 |
$23K |
| 92060 |
|
628 |
555 |
$23K |
| 92015 |
Determination of refractive state |
2,945 |
2,669 |
$18K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
315 |
278 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
135 |
119 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
49 |
46 |
$637.26 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
41 |
39 |
$556.10 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
15 |
14 |
$265.68 |
| 2026F |
|
508 |
485 |
$0.00 |
| 3072F |
|
14 |
12 |
$0.00 |