| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,351 |
7,393 |
$545K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,480 |
4,036 |
$366K |
| V2020 |
Frames, purchases |
13,067 |
11,391 |
$168K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,706 |
6,751 |
$156K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,439 |
8,271 |
$108K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,352 |
1,118 |
$73K |
| 92015 |
Determination of refractive state |
11,272 |
9,886 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,200 |
1,963 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,948 |
2,589 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
357 |
331 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
652 |
560 |
$14K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
397 |
268 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
142 |
132 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
564 |
466 |
$7K |
| 92250 |
|
156 |
107 |
$4K |
| 92341 |
|
325 |
286 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
180 |
165 |
$3K |
| 92133 |
|
171 |
129 |
$3K |
| 92083 |
|
71 |
52 |
$2K |
| 92002 |
|
13 |
13 |
$630.47 |
| V2760 |
Scratch resistant coating, per lens |
52 |
52 |
$105.00 |