| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,329 |
4,987 |
$185K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,077 |
2,919 |
$139K |
| V2020 |
Frames, purchases |
4,181 |
3,965 |
$117K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,459 |
1,366 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,455 |
3,282 |
$71K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,205 |
2,099 |
$60K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,208 |
2,107 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
548 |
512 |
$12K |
| 92341 |
|
394 |
375 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
171 |
163 |
$7K |
| 92250 |
|
193 |
177 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
184 |
$6K |
| 83861 |
|
382 |
181 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
18 |
18 |
$508.95 |