| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,682 |
14,381 |
$607K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,928 |
8,678 |
$183K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
1,394 |
1,385 |
$177K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,743 |
3,650 |
$159K |
| V2020 |
Frames, purchases |
11,010 |
10,658 |
$157K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,554 |
6,382 |
$124K |
| 92341 |
|
2,475 |
2,432 |
$58K |
| 92015 |
Determination of refractive state |
5,549 |
5,489 |
$57K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,464 |
2,403 |
$30K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,692 |
1,595 |
$29K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
868 |
867 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,220 |
2,107 |
$21K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
648 |
617 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
87 |
$4K |
| 2023F |
|
1,325 |
1,324 |
$0.00 |
| 3072F |
|
206 |
204 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
46 |
46 |
$0.00 |