| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,609 |
2,471 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
788 |
722 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
957 |
916 |
$67K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,412 |
1,169 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,482 |
1,424 |
$43K |
| V2020 |
Frames, purchases |
1,170 |
1,093 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
169 |
$10K |
| 92250 |
|
313 |
273 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
542 |
475 |
$6K |
| 92273 |
|
71 |
68 |
$5K |
| 92285 |
|
235 |
121 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
78 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
196 |
157 |
$3K |
| 92083 |
|
63 |
56 |
$2K |
| 92060 |
|
31 |
24 |
$1K |
| 92133 |
|
26 |
25 |
$633.27 |
| 76514 |
|
47 |
42 |
$325.12 |
| 92145 |
|
41 |
37 |
$290.53 |