| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,667 |
3,333 |
$126K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,807 |
1,701 |
$87K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,898 |
1,770 |
$52K |
| V2020 |
Frames, purchases |
1,630 |
1,522 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,864 |
1,742 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
501 |
461 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
913 |
519 |
$15K |
| 99243 |
|
101 |
96 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
116 |
106 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
364 |
201 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
82 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
13 |
$2K |
| 92060 |
|
28 |
26 |
$810.24 |
| V2799 |
Vision item or service, miscellaneous |
14 |
12 |
$295.00 |