| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
11,171 |
10,086 |
$348K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,980 |
5,465 |
$264K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,967 |
3,561 |
$229K |
| V2020 |
Frames, purchases |
8,484 |
7,595 |
$215K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,540 |
6,814 |
$144K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,645 |
4,404 |
$125K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,411 |
3,263 |
$95K |
| 92250 |
|
3,111 |
2,743 |
$92K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,662 |
3,382 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,679 |
1,397 |
$48K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
460 |
339 |
$15K |
| 92341 |
|
510 |
422 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
270 |
257 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
222 |
197 |
$6K |
| 92083 |
|
231 |
185 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
136 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
132 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
194 |
48 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
32 |
30 |
$940.38 |
| 92134 |
|
44 |
35 |
$538.65 |
| 92133 |
|
41 |
24 |
$436.05 |
| 92285 |
|
75 |
69 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
82 |
81 |
$0.00 |
| 92226 |
|
90 |
39 |
$0.00 |
| 83861 |
|
28 |
12 |
$0.00 |