| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
20,604 |
19,971 |
$750K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,428 |
14,072 |
$695K |
| V2020 |
Frames, purchases |
20,663 |
19,435 |
$573K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,072 |
17,018 |
$367K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
13,055 |
12,323 |
$360K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20,348 |
11,198 |
$333K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,303 |
4,148 |
$273K |
| 92250 |
|
2,324 |
1,488 |
$87K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,768 |
3,578 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,109 |
1,888 |
$68K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,323 |
1,281 |
$55K |
| 92341 |
|
2,058 |
1,986 |
$48K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,727 |
1,068 |
$28K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
671 |
405 |
$14K |
| V2730 |
Special base curve, glass or plastic, per lens |
894 |
855 |
$14K |
| 92370 |
|
771 |
707 |
$5K |
| 92145 |
|
211 |
201 |
$2K |
| 92134 |
|
12 |
12 |
$307.80 |