| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,305 |
7,990 |
$578K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,467 |
2,392 |
$211K |
| V2020 |
Frames, purchases |
10,236 |
9,612 |
$166K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,786 |
5,452 |
$143K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,264 |
5,879 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,940 |
2,769 |
$64K |
| 92015 |
Determination of refractive state |
9,640 |
9,292 |
$56K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,369 |
1,101 |
$42K |
| 92250 |
|
621 |
539 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,234 |
1,174 |
$15K |
| V2799 |
Vision item or service, miscellaneous |
945 |
938 |
$15K |
| 92083 |
|
333 |
293 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
142 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
102 |
93 |
$5K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
49 |
49 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
70 |
69 |
$1K |
| 92133 |
|
64 |
62 |
$766.51 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
41 |
$739.27 |