| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
11,874 |
11,129 |
$392K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,182 |
7,791 |
$364K |
| V2020 |
Frames, purchases |
8,543 |
8,218 |
$236K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,296 |
8,959 |
$189K |
| 92250 |
|
4,753 |
4,516 |
$165K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,753 |
2,608 |
$163K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,876 |
4,696 |
$141K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,056 |
2,575 |
$62K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,195 |
1,172 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,061 |
1,781 |
$36K |
| 92082 |
|
635 |
623 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
775 |
630 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,091 |
754 |
$16K |
| 92083 |
|
267 |
245 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
278 |
243 |
$7K |
| 92310 |
|
142 |
139 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
264 |
175 |
$4K |
| 92133 |
|
210 |
197 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
138 |
83 |
$3K |
| 92145 |
|
211 |
202 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
36 |
25 |
$892.80 |
| 76514 |
|
152 |
144 |
$726.10 |
| 95930 |
|
12 |
12 |
$612.02 |
| 92275 |
|
12 |
12 |
$544.32 |
| V2702 |
Deluxe lens feature |
514 |
494 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
128 |
64 |
$0.00 |