| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
23,315 |
22,523 |
$841K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,844 |
16,212 |
$783K |
| V2020 |
Frames, purchases |
21,073 |
20,413 |
$601K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,971 |
5,818 |
$383K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14,602 |
14,279 |
$307K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,593 |
10,342 |
$307K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
8,424 |
8,250 |
$240K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,270 |
3,130 |
$135K |
| 92250 |
|
2,542 |
2,451 |
$96K |
| 92341 |
|
3,742 |
3,587 |
$86K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,777 |
3,696 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,746 |
1,635 |
$56K |
| 92083 |
|
1,606 |
1,549 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,309 |
2,110 |
$42K |
| 92133 |
|
1,645 |
1,565 |
$33K |
| 83861 |
|
1,387 |
675 |
$17K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
459 |
456 |
$12K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
287 |
285 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
51 |
51 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
45 |
45 |
$1K |
| 92145 |
|
130 |
129 |
$1K |
| 76514 |
|
12 |
12 |
$82.20 |