| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,268 |
7,187 |
$315K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,353 |
4,325 |
$257K |
| V2020 |
Frames, purchases |
13,517 |
13,079 |
$179K |
| 92250 |
|
2,979 |
2,945 |
$119K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,407 |
1,392 |
$95K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,868 |
3,762 |
$86K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,693 |
1,667 |
$73K |
| 92015 |
Determination of refractive state |
5,767 |
5,689 |
$68K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,324 |
2,481 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,034 |
3,892 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
616 |
597 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,584 |
3,752 |
$22K |
| 68761 |
|
374 |
187 |
$16K |
| 92225 |
|
445 |
323 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
701 |
374 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
226 |
221 |
$8K |
| 92341 |
|
459 |
401 |
$8K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
415 |
413 |
$6K |
| 92002 |
|
92 |
92 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
350 |
210 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
488 |
418 |
$5K |
| 92226 |
|
103 |
71 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$758.55 |
| 92083 |
|
12 |
12 |
$445.18 |
| V2750 |
Anti-reflective coating, per lens |
26 |
13 |
$0.00 |