| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
11,529 |
10,717 |
$396K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,075 |
6,796 |
$330K |
| V2020 |
Frames, purchases |
8,998 |
8,705 |
$259K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,628 |
6,413 |
$188K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,905 |
2,759 |
$181K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,255 |
7,035 |
$153K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,181 |
3,889 |
$120K |
| 92065 |
|
4,468 |
1,910 |
$92K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,641 |
1,494 |
$42K |
| 92341 |
|
1,192 |
1,124 |
$27K |
| 92060 |
|
834 |
822 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
716 |
709 |
$24K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
297 |
247 |
$11K |
| 99070 |
|
120 |
107 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
280 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
199 |
183 |
$6K |
| 92250 |
|
146 |
135 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
191 |
185 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
103 |
98 |
$5K |
| V2715 |
Prism, per lens |
13 |
13 |
$95.94 |