| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,168 |
4,708 |
$168K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,995 |
2,709 |
$127K |
| V2020 |
Frames, purchases |
2,934 |
2,693 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,338 |
1,239 |
$79K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,386 |
2,160 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,678 |
2,468 |
$53K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,412 |
1,160 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,393 |
1,118 |
$32K |
| 92083 |
|
196 |
159 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
237 |
217 |
$5K |
| 92133 |
|
144 |
130 |
$3K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
105 |
65 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
51 |
$2K |
| 92250 |
|
63 |
53 |
$2K |
| 92225 |
|
92 |
43 |
$965.64 |
| 92134 |
|
46 |
45 |
$941.64 |
| 92060 |
|
13 |
13 |
$394.94 |
| 92341 |
|
12 |
12 |
$290.40 |
| 92020 |
|
32 |
26 |
$256.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
589 |
559 |
$0.00 |