| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17,545 |
17,533 |
$1.03M |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
1,909 |
1,899 |
$471K |
| 92015 |
Determination of refractive state |
20,437 |
20,399 |
$241K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,316 |
2,315 |
$148K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,187 |
10,155 |
$137K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,079 |
6,070 |
$108K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,563 |
1,552 |
$66K |
| V2020 |
Frames, purchases |
7,507 |
7,467 |
$60K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,122 |
4,040 |
$41K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,291 |
3,212 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
503 |
497 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
935 |
906 |
$9K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
428 |
424 |
$7K |
| 92225 |
|
133 |
133 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
121 |
118 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
39 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$1K |