| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
20,644 |
18,473 |
$660K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,656 |
11,565 |
$531K |
| V2020 |
Frames, purchases |
16,307 |
15,303 |
$460K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,298 |
5,877 |
$373K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
9,875 |
9,489 |
$279K |
| 92250 |
|
9,404 |
8,305 |
$278K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,978 |
12,214 |
$269K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,620 |
6,436 |
$198K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,225 |
5,011 |
$149K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,629 |
2,046 |
$92K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,562 |
3,011 |
$82K |
| 92341 |
|
3,028 |
2,854 |
$69K |
| 92083 |
|
2,289 |
2,016 |
$65K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,330 |
848 |
$23K |
| 68761 |
|
584 |
223 |
$20K |
| 92133 |
|
1,113 |
981 |
$19K |
| 92145 |
|
820 |
771 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
211 |
152 |
$6K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
198 |
125 |
$4K |
| 92273 |
|
84 |
71 |
$4K |
| 92134 |
|
210 |
185 |
$4K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
85 |
85 |
$3K |
| 92370 |
|
166 |
161 |
$2K |
| 83861 |
|
101 |
26 |
$609.96 |
| 76514 |
|
86 |
81 |
$369.90 |
| 92371 |
|
12 |
12 |
$120.00 |