| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,817 |
4,683 |
$234K |
| 92015 |
Determination of refractive state |
5,856 |
5,651 |
$212K |
| V2020 |
Frames, purchases |
5,756 |
5,539 |
$164K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,014 |
4,838 |
$104K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,494 |
3,385 |
$103K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,827 |
2,739 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
691 |
676 |
$41K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
781 |
745 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,181 |
1,156 |
$27K |
| 92341 |
|
895 |
849 |
$20K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
284 |
277 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
365 |
356 |
$10K |
| 92250 |
|
56 |
53 |
$2K |
| 92133 |
|
81 |
79 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
71 |
$2K |
| 92134 |
|
79 |
74 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
25 |
$868.00 |