| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,483 |
1,324 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
855 |
746 |
$29K |
| V2020 |
Frames, purchases |
1,070 |
1,034 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
751 |
718 |
$11K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
236 |
228 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
185 |
166 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
53 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
25 |
24 |
$915.95 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$501.05 |
| 92250 |
|
13 |
13 |
$413.64 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
14 |
14 |
$272.00 |