| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,741 |
6,568 |
$240K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,281 |
3,694 |
$175K |
| V2020 |
Frames, purchases |
4,664 |
4,487 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,545 |
1,368 |
$89K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,759 |
3,589 |
$78K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,632 |
2,534 |
$74K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,583 |
2,491 |
$74K |
| 92250 |
|
868 |
476 |
$32K |
| 92341 |
|
848 |
791 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
650 |
618 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
347 |
331 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
38 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
20 |
20 |
$806.04 |