| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,517 |
6,363 |
$446K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,455 |
4,759 |
$229K |
| 92015 |
Determination of refractive state |
9,400 |
9,053 |
$210K |
| V2020 |
Frames, purchases |
9,107 |
8,828 |
$167K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,486 |
8,118 |
$145K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,870 |
2,775 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,208 |
2,128 |
$105K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,296 |
5,354 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,061 |
1,035 |
$86K |
| 92370 |
|
7,903 |
7,490 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,691 |
1,511 |
$57K |
| 92250 |
|
1,602 |
1,553 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,223 |
1,102 |
$49K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
817 |
711 |
$36K |
| 92083 |
|
679 |
650 |
$24K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
318 |
302 |
$23K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
238 |
231 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
363 |
353 |
$20K |
| 92133 |
|
735 |
707 |
$17K |
| 92341 |
|
548 |
536 |
$11K |
| 92342 |
|
480 |
464 |
$10K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
150 |
141 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
255 |
244 |
$7K |
| 92202 |
|
687 |
671 |
$6K |
| 92226 |
|
235 |
220 |
$4K |
| 92225 |
|
96 |
88 |
$3K |
| 92134 |
|
26 |
25 |
$655.02 |
| V2756 |
Eye glass case |
21 |
21 |
$85.00 |
| 99072 |
|
20 |
14 |
$0.00 |