| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,690 |
1,623 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,311 |
1,249 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
414 |
392 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
271 |
266 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
660 |
628 |
$19K |
| V2020 |
Frames, purchases |
926 |
880 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
253 |
240 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
93 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
47 |
45 |
$1K |