| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,131 |
1,099 |
$46K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
949 |
920 |
$39K |
| V2020 |
Frames, purchases |
2,049 |
1,987 |
$36K |
| 92015 |
Determination of refractive state |
1,235 |
1,198 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
476 |
468 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,327 |
1,289 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
366 |
338 |
$16K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
201 |
197 |
$13K |
| 92250 |
|
346 |
334 |
$11K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
550 |
535 |
$10K |
| 92341 |
|
387 |
380 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
196 |
195 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
39 |
39 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
16 |
16 |
$723.23 |
| 92370 |
|
17 |
14 |
$163.13 |