| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,961 |
5,435 |
$152K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,690 |
3,798 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
941 |
810 |
$40K |
| V2020 |
Frames, purchases |
906 |
875 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
655 |
554 |
$22K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
579 |
557 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
474 |
453 |
$10K |
| 92250 |
|
284 |
211 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
119 |
110 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
21 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
40 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
64 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
42 |
37 |
$827.32 |
| 92341 |
|
32 |
29 |
$661.77 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$399.20 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
25 |
$397.50 |
| 92083 |
|
19 |
13 |
$222.25 |