| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
5,937 |
5,767 |
$391K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,799 |
3,725 |
$305K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,350 |
5,710 |
$194K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,465 |
4,102 |
$177K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,733 |
1,673 |
$168K |
| 92015 |
Determination of refractive state |
6,264 |
6,105 |
$112K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,033 |
967 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
293 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
253 |
245 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41 |
41 |
$0.00 |