| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
27,193 |
25,905 |
$984K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17,338 |
16,649 |
$818K |
| V2020 |
Frames, purchases |
25,929 |
24,578 |
$728K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,520 |
8,230 |
$540K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14,177 |
13,550 |
$415K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,157 |
18,282 |
$394K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,370 |
6,089 |
$176K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,886 |
3,696 |
$160K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,172 |
3,807 |
$121K |
| 92341 |
|
4,457 |
4,240 |
$102K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,552 |
3,423 |
$77K |
| 92250 |
|
1,605 |
1,403 |
$52K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,719 |
1,679 |
$45K |
| 92083 |
|
957 |
917 |
$32K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
890 |
844 |
$29K |
| 92133 |
|
1,349 |
1,294 |
$29K |
| 92145 |
|
1,599 |
1,516 |
$13K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
306 |
290 |
$9K |
| 76514 |
|
338 |
328 |
$2K |
| 92134 |
|
30 |
26 |
$615.60 |
| 92370 |
|
67 |
66 |
$590.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$193.20 |
| V2700 |
Balance lens, per lens |
12 |
12 |
$76.08 |