| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,990 |
1,899 |
$71K |
| V2020 |
Frames, purchases |
2,069 |
1,992 |
$56K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,148 |
853 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,577 |
1,524 |
$26K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
519 |
505 |
$12K |
| 92015 |
Determination of refractive state |
451 |
425 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
259 |
246 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
192 |
188 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
78 |
65 |
$3K |
| 92341 |
|
75 |
69 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
79 |
76 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
13 |
$708.02 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
17 |
13 |
$448.83 |