| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,363 |
3,285 |
$252K |
| V2020 |
Frames, purchases |
9,890 |
9,783 |
$251K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,866 |
8,618 |
$157K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,306 |
2,225 |
$143K |
| 92015 |
Determination of refractive state |
8,085 |
7,806 |
$80K |
| 92341 |
|
3,185 |
3,093 |
$65K |
| 92083 |
|
2,686 |
2,265 |
$65K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,749 |
3,943 |
$52K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,300 |
1,279 |
$50K |
| 92342 |
|
1,511 |
1,486 |
$33K |
| 92250 |
|
1,249 |
1,206 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,069 |
1,897 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
558 |
545 |
$24K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
608 |
599 |
$23K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,809 |
1,420 |
$23K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
858 |
678 |
$21K |
| 92002 |
|
364 |
349 |
$15K |
| 92060 |
|
511 |
478 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
577 |
525 |
$11K |
| 92020 |
|
580 |
545 |
$8K |
| 92100 |
|
214 |
191 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
362 |
302 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
19 |
$1K |