| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
10,875 |
10,132 |
$362K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,658 |
6,173 |
$296K |
| V2020 |
Frames, purchases |
7,193 |
6,772 |
$193K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,014 |
2,786 |
$179K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,806 |
5,508 |
$116K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,908 |
3,676 |
$106K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,750 |
2,616 |
$70K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
335 |
315 |
$7K |
| 92250 |
|
185 |
159 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
114 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
54 |
53 |
$1K |
| 92341 |
|
40 |
39 |
$931.38 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$399.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$313.95 |