| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,129 |
4,668 |
$190K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,397 |
2,224 |
$117K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,191 |
2,975 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,159 |
2,950 |
$71K |
| V2020 |
Frames, purchases |
2,509 |
2,342 |
$70K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,783 |
1,654 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
700 |
$45K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
317 |
290 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,901 |
1,067 |
$32K |
| 99243 |
|
309 |
285 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
366 |
338 |
$24K |
| 92060 |
|
300 |
281 |
$9K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
151 |
115 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
368 |
200 |
$6K |
| 92134 |
|
626 |
548 |
$5K |
| V2025 |
Deluxe frame |
28 |
24 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
56 |
$2K |
| 92020 |
|
103 |
96 |
$775.67 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
20 |
12 |
$447.80 |
| 92250 |
|
16 |
14 |
$351.53 |
| 92285 |
|
15 |
14 |
$315.92 |