| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24,708 |
23,703 |
$1.68M |
| V2020 |
Frames, purchases |
35,385 |
33,563 |
$1.45M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,794 |
9,433 |
$898K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17,542 |
16,634 |
$669K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13,349 |
12,690 |
$596K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
35,306 |
33,491 |
$317K |
| 92015 |
Determination of refractive state |
37,866 |
36,165 |
$217K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,442 |
3,255 |
$135K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,691 |
2,508 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
89 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
72 |
67 |
$3K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
24,922 |
23,646 |
$93.50 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
34,271 |
32,557 |
$0.00 |