| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,301 |
4,197 |
$147K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,196 |
3,049 |
$107K |
| 92015 |
Determination of refractive state |
7,738 |
7,383 |
$78K |
| V2020 |
Frames, purchases |
5,262 |
5,133 |
$61K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,561 |
3,466 |
$58K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,734 |
2,670 |
$47K |
| V2760 |
Scratch resistant coating, per lens |
2,797 |
2,725 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,004 |
2,933 |
$18K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
228 |
217 |
$14K |
| 92310 |
|
291 |
288 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
463 |
449 |
$6K |
| V2500 |
Contact lens, pmma, spherical, per lens |
126 |
126 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
102 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
78 |
$4K |
| S0592 |
Comprehensive contact lens evaluation |
36 |
36 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
24 |
$629.00 |
| 92341 |
|
28 |
26 |
$508.70 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
25 |
25 |
$448.56 |
| V2750 |
Anti-reflective coating, per lens |
14 |
14 |
$288.00 |