| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,767 |
5,233 |
$193K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,971 |
3,755 |
$187K |
| V2020 |
Frames, purchases |
5,118 |
4,721 |
$141K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,879 |
2,717 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,202 |
1,125 |
$74K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,474 |
2,320 |
$69K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,315 |
3,123 |
$67K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
701 |
641 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
490 |
$26K |
| 92341 |
|
1,163 |
1,083 |
$26K |
| 92250 |
|
519 |
471 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
187 |
173 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$592.38 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
16 |
12 |
$372.00 |