| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,909 |
6,479 |
$500K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,864 |
1,784 |
$171K |
| V2020 |
Frames, purchases |
9,284 |
8,625 |
$129K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,220 |
5,792 |
$97K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,215 |
6,824 |
$95K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,054 |
1,934 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,706 |
1,491 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
227 |
193 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
738 |
685 |
$10K |
| 92250 |
|
249 |
224 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
91 |
$5K |
| 92083 |
|
62 |
53 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
138 |
134 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
12 |
$749.98 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
18 |
17 |
$687.72 |
| 92015 |
Determination of refractive state |
7,850 |
7,250 |
$0.00 |