| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,364 |
1,271 |
$59K |
| 92015 |
Determination of refractive state |
1,779 |
1,650 |
$56K |
| 92250 |
|
653 |
614 |
$23K |
| 92082 |
|
561 |
529 |
$19K |
| V2020 |
Frames, purchases |
623 |
591 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
511 |
483 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
630 |
321 |
$10K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
325 |
302 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
79 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
26 |
$801.44 |
| 92310 |
|
14 |
12 |
$554.40 |
| 92370 |
|
62 |
62 |
$376.20 |
| 92025 |
|
14 |
12 |
$201.36 |