| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
150 |
$10K |
| 92015 |
Determination of refractive state |
341 |
304 |
$7K |
| V2020 |
Frames, purchases |
313 |
301 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
230 |
218 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
30 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
89 |
85 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
68 |
66 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17 |
13 |
$573.00 |
| 92341 |
|
15 |
14 |
$295.08 |