| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
14,581 |
13,059 |
$470K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,581 |
6,869 |
$341K |
| V2020 |
Frames, purchases |
8,244 |
7,596 |
$225K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,732 |
3,365 |
$222K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
7,382 |
6,821 |
$197K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,959 |
4,464 |
$155K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,040 |
7,399 |
$153K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,469 |
3,161 |
$98K |
| 92060 |
|
1,349 |
1,269 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,302 |
1,168 |
$30K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
341 |
310 |
$10K |
| V2715 |
Prism, per lens |
799 |
721 |
$6K |
| 92341 |
|
75 |
72 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
39 |
$841.85 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
14 |
12 |
$357.97 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
30 |
24 |
$0.00 |
| 99072 |
|
159 |
159 |
$0.00 |