| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
391 |
375 |
$15K |
| V2020 |
Frames, purchases |
238 |
226 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
198 |
188 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
99 |
76 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
42 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
27 |
27 |
$1K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
24 |
24 |
$576.00 |
| 92250 |
|
13 |
13 |
$382.34 |