| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,183 |
2,945 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,149 |
2,022 |
$89K |
| V2020 |
Frames, purchases |
1,678 |
1,567 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
771 |
697 |
$36K |
| 92250 |
|
1,065 |
992 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,389 |
1,305 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
301 |
288 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
862 |
474 |
$14K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
994 |
466 |
$14K |
| 92020 |
|
1,208 |
1,119 |
$13K |
| 76513 |
|
289 |
139 |
$12K |
| 76511 |
|
54 |
27 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
194 |
113 |
$3K |
| 92083 |
|
78 |
72 |
$2K |
| 92285 |
|
74 |
67 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
45 |
39 |
$1K |
| 99070 |
|
32 |
29 |
$660.00 |
| 92133 |
|
30 |
28 |
$538.65 |
| 92132 |
|
18 |
13 |
$316.35 |
| 92025 |
|
12 |
12 |
$201.36 |
| 76514 |
|
27 |
26 |
$164.40 |
| 99072 |
|
32 |
31 |
$0.00 |