| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,140 |
5,990 |
$224K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,391 |
3,284 |
$159K |
| V2020 |
Frames, purchases |
4,971 |
4,692 |
$139K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,133 |
2,043 |
$133K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,227 |
3,066 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,553 |
3,399 |
$72K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,218 |
2,081 |
$64K |
| 92250 |
|
1,228 |
1,191 |
$46K |
| 92060 |
|
722 |
700 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
266 |
258 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
156 |
139 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
75 |
65 |
$3K |
| 92341 |
|
115 |
111 |
$3K |