| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,952 |
4,807 |
$335K |
| 92015 |
Determination of refractive state |
9,127 |
8,707 |
$203K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,983 |
3,781 |
$188K |
| V2020 |
Frames, purchases |
7,241 |
6,937 |
$133K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,111 |
3,000 |
$128K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,664 |
6,240 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,089 |
1,961 |
$99K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,352 |
4,076 |
$78K |
| 92370 |
|
7,431 |
6,958 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
594 |
570 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
876 |
840 |
$40K |
| 92250 |
|
1,045 |
998 |
$34K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
359 |
342 |
$33K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
253 |
246 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
376 |
351 |
$20K |
| 92083 |
|
578 |
548 |
$19K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
365 |
350 |
$19K |
| 92133 |
|
713 |
687 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
449 |
429 |
$16K |
| 92342 |
|
496 |
471 |
$10K |
| 92341 |
|
511 |
499 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
369 |
347 |
$10K |
| 92226 |
|
335 |
316 |
$6K |
| 92225 |
|
167 |
148 |
$5K |
| 92202 |
|
673 |
645 |
$5K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
59 |
52 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
27 |
$2K |
| V2756 |
Eye glass case |
20 |
20 |
$75.00 |
| 99072 |
|
20 |
12 |
$0.00 |