| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,123 |
2,078 |
$78K |
| V2020 |
Frames, purchases |
1,716 |
1,684 |
$66K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,190 |
979 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,401 |
1,371 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
321 |
$15K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
662 |
609 |
$14K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
284 |
284 |
$12K |
| 92250 |
|
216 |
214 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
171 |
82 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
27 |
27 |
$975.89 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$676.04 |
| 92341 |
|
26 |
26 |
$377.09 |