| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,338 |
15,050 |
$1.11M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14,882 |
12,097 |
$582K |
| 92015 |
Determination of refractive state |
25,513 |
24,316 |
$476K |
| V2020 |
Frames, purchases |
24,276 |
23,394 |
$426K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,428 |
8,799 |
$400K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,946 |
10,485 |
$390K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,779 |
20,945 |
$378K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
16,406 |
12,998 |
$219K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,775 |
1,729 |
$142K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,191 |
2,732 |
$124K |
| 92370 |
|
20,802 |
19,630 |
$123K |
| 92250 |
|
3,511 |
3,413 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,695 |
1,638 |
$96K |
| 92133 |
|
2,281 |
2,200 |
$53K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
584 |
496 |
$49K |
| 92083 |
|
1,511 |
1,457 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,094 |
1,007 |
$38K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
901 |
679 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,396 |
1,305 |
$26K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
383 |
314 |
$23K |
| 92341 |
|
1,154 |
1,082 |
$22K |
| 92226 |
|
1,230 |
1,163 |
$21K |
| 92342 |
|
957 |
911 |
$20K |
| 92225 |
|
283 |
272 |
$11K |
| V2781 |
Progressive lens, per lens |
150 |
75 |
$10K |
| 92202 |
|
342 |
328 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
63 |
52 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
25 |
25 |
$2K |
| V2202 |
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
16 |
16 |
$1K |
| 99072 |
|
174 |
163 |
$1K |
| 92025 |
|
37 |
35 |
$821.92 |
| 92134 |
|
75 |
66 |
$318.16 |
| 92082 |
|
12 |
12 |
$288.05 |
| 92145 |
|
27 |
24 |
$218.53 |
| 76514 |
|
25 |
25 |
$203.23 |
| 92201 |
|
12 |
12 |
$152.52 |