| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,934 |
2,791 |
$201K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,324 |
2,196 |
$193K |
| V2020 |
Frames, purchases |
5,917 |
5,151 |
$80K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,653 |
2,408 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,177 |
2,873 |
$38K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
942 |
847 |
$17K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
289 |
258 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
325 |
301 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
37 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
38 |
25 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
67 |
57 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
15 |
$891.24 |
| 92341 |
|
25 |
25 |
$284.28 |
| 92015 |
Determination of refractive state |
369 |
348 |
$0.00 |
| 99072 |
|
94 |
81 |
$0.00 |