| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,533 |
3,460 |
$130K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,486 |
2,442 |
$126K |
| V2020 |
Frames, purchases |
3,871 |
3,720 |
$111K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,474 |
3,349 |
$73K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,497 |
2,423 |
$71K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,390 |
2,308 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
906 |
889 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
513 |
462 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
661 |
635 |
$15K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
349 |
339 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
120 |
118 |
$6K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
129 |
124 |
$4K |
| 92341 |
|
183 |
178 |
$4K |
| 92250 |
|
27 |
27 |
$1K |