| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,374 |
6,266 |
$213K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,826 |
2,406 |
$108K |
| V2020 |
Frames, purchases |
2,929 |
2,787 |
$82K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,205 |
1,740 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
590 |
551 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
994 |
950 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
678 |
607 |
$29K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
730 |
708 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
654 |
640 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
257 |
236 |
$17K |
| 92341 |
|
765 |
722 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
517 |
$14K |
| 92250 |
|
520 |
456 |
$12K |
| 92285 |
|
650 |
507 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
177 |
173 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
105 |
$2K |
| 92083 |
|
60 |
52 |
$2K |
| 92225 |
|
26 |
13 |
$247.60 |
| 0509T |
|
12 |
12 |
$53.13 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |