| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,854 |
7,385 |
$276K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,928 |
4,682 |
$237K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,271 |
2,110 |
$142K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,136 |
3,958 |
$116K |
| V2020 |
Frames, purchases |
3,834 |
3,659 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,535 |
3,385 |
$74K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,717 |
1,551 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,281 |
1,315 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
892 |
765 |
$29K |
| 92250 |
|
154 |
149 |
$6K |
| 92341 |
|
171 |
155 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
25 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
25 |
25 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
14 |
$656.88 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
21 |
16 |
$470.19 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
17 |
12 |
$298.35 |