| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,582 |
2,446 |
$89K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,781 |
1,669 |
$81K |
| V2020 |
Frames, purchases |
1,947 |
1,863 |
$55K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,413 |
1,358 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
555 |
536 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,465 |
1,401 |
$30K |
| 92250 |
|
833 |
758 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
624 |
606 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
580 |
554 |
$18K |
| 92225 |
|
129 |
125 |
$3K |
| 92341 |
|
73 |
71 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
30 |
29 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$598.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$425.04 |