| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30,495 |
30,011 |
$2.59M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,471 |
8,125 |
$608K |
| 92015 |
Determination of refractive state |
15,595 |
15,428 |
$339K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
9,279 |
7,517 |
$138K |
| V2020 |
Frames, purchases |
9,922 |
9,264 |
$101K |
| 92225 |
|
5,010 |
3,788 |
$76K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,065 |
4,046 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,560 |
5,392 |
$59K |
| 92201 |
|
2,239 |
1,902 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
945 |
919 |
$31K |
| 92202 |
|
1,987 |
1,876 |
$29K |
| 92226 |
|
1,193 |
927 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,445 |
3,169 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,387 |
1,197 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
61 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
163 |
113 |
$1K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
12 |
12 |
$744.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$666.51 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
23 |
12 |
$190.38 |