| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,502 |
4,221 |
$158K |
| 92060 |
|
2,410 |
2,277 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
919 |
882 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
541 |
509 |
$34K |
| V2020 |
Frames, purchases |
779 |
738 |
$21K |
| 92250 |
|
493 |
473 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
337 |
326 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
531 |
292 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
560 |
539 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
198 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
76 |
$7K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
118 |
116 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
56 |
56 |
$2K |