| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,998 |
11,716 |
$955K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
19,736 |
19,118 |
$921K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,334 |
7,140 |
$673K |
| V2020 |
Frames, purchases |
20,738 |
20,009 |
$597K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
9,574 |
9,220 |
$405K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,605 |
15,115 |
$359K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
11,940 |
7,028 |
$357K |
| 92015 |
Determination of refractive state |
19,891 |
19,392 |
$238K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,896 |
3,825 |
$158K |
| 92341 |
|
5,665 |
5,471 |
$154K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,840 |
2,742 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,201 |
2,149 |
$121K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,064 |
1,047 |
$111K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,834 |
1,791 |
$101K |
| 92250 |
|
1,032 |
988 |
$27K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
119 |
117 |
$12K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
265 |
260 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$3K |
| 92083 |
|
29 |
29 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
17 |
15 |
$1K |
| 92134 |
|
37 |
35 |
$937.94 |
| 92133 |
|
16 |
16 |
$394.95 |
| 76514 |
|
14 |
13 |
$109.48 |