| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,073 |
4,920 |
$187K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,329 |
3,267 |
$167K |
| V2020 |
Frames, purchases |
5,618 |
5,350 |
$166K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,323 |
5,105 |
$154K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,193 |
4,904 |
$111K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,126 |
3,024 |
$109K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,577 |
1,545 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
475 |
442 |
$17K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
82 |
81 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
65 |
59 |
$2K |
| 92341 |
|
73 |
62 |
$2K |
| 92133 |
|
64 |
63 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$381.84 |