| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,891 |
1,853 |
$71K |
| V2020 |
Frames, purchases |
1,323 |
1,284 |
$54K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,203 |
832 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
696 |
615 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,197 |
1,169 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
443 |
240 |
$13K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
748 |
584 |
$13K |
| 92250 |
|
455 |
440 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
219 |
167 |
$7K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
126 |
124 |
$6K |
| T1015 |
Clinic visit/encounter, all-inclusive |
30 |
29 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
54 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
22 |
16 |
$500.12 |