| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
15,197 |
14,102 |
$522K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,704 |
8,510 |
$412K |
| V2020 |
Frames, purchases |
11,458 |
11,121 |
$332K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,001 |
3,910 |
$258K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,990 |
9,765 |
$203K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,888 |
5,757 |
$172K |
| 92250 |
|
3,945 |
3,824 |
$141K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,705 |
6,567 |
$97K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,368 |
2,315 |
$60K |
| 92341 |
|
284 |
271 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
141 |
133 |
$6K |
| 92083 |
|
119 |
113 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
73 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
67 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
77 |
77 |
$2K |
| 92133 |
|
56 |
54 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$338.10 |