| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,407 |
5,226 |
$194K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,413 |
2,318 |
$154K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,990 |
2,879 |
$144K |
| V2020 |
Frames, purchases |
5,038 |
4,807 |
$141K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,024 |
3,811 |
$111K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,900 |
4,666 |
$100K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,993 |
2,853 |
$89K |
| 92250 |
|
3,135 |
3,039 |
$72K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,492 |
1,422 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
360 |
144 |
$12K |
| 92060 |
|
291 |
282 |
$8K |
| 92065 |
|
407 |
168 |
$8K |
| 92341 |
|
302 |
297 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
109 |
107 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
57 |
56 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$962.77 |