| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,738 |
1,520 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
809 |
717 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
807 |
721 |
$19K |
| V2020 |
Frames, purchases |
958 |
833 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
520 |
279 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
461 |
244 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
44 |
40 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
108 |
71 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$447.03 |
| V2750 |
Anti-reflective coating, per lens |
86 |
62 |
$0.00 |