| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,865 |
1,749 |
$74K |
| 92015 |
Determination of refractive state |
2,529 |
2,367 |
$73K |
| V2020 |
Frames, purchases |
1,699 |
1,554 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,439 |
1,330 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,783 |
958 |
$28K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
915 |
846 |
$24K |
| 92250 |
|
624 |
599 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
352 |
338 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
281 |
$9K |
| 92082 |
|
167 |
160 |
$6K |
| 92025 |
|
174 |
168 |
$3K |
| 92370 |
|
110 |
108 |
$2K |
| 92341 |
|
12 |
12 |
$269.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$207.35 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
20 |
12 |
$206.83 |