| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,325 |
1,259 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
111 |
105 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
104 |
100 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
54 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
91 |
90 |
$2K |
| V2020 |
Frames, purchases |
41 |
41 |
$340.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
24 |
$298.56 |