| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,432 |
4,326 |
$258K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,948 |
3,623 |
$142K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,810 |
1,733 |
$119K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,085 |
2,058 |
$119K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,352 |
3,307 |
$96K |
| 92015 |
Determination of refractive state |
4,744 |
4,644 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
915 |
865 |
$72K |
| 92002 |
|
626 |
606 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
577 |
526 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
238 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
158 |
123 |
$5K |
| 92250 |
|
170 |
155 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
56 |
$2K |