| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,755 |
1,649 |
$59K |
| 92250 |
|
1,093 |
1,042 |
$39K |
| V2020 |
Frames, purchases |
1,164 |
1,085 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
952 |
881 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
462 |
431 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
586 |
557 |
$26K |
| 92083 |
|
613 |
574 |
$21K |
| 92133 |
|
896 |
450 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
988 |
921 |
$20K |
| 92273 |
|
224 |
213 |
$15K |
| 92283 |
|
715 |
674 |
$13K |
| 92020 |
|
808 |
418 |
$10K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
256 |
210 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
100 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
46 |
38 |
$2K |
| 92134 |
|
58 |
30 |
$1K |