| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,010 |
2,735 |
$97K |
| V2020 |
Frames, purchases |
3,472 |
3,196 |
$88K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,829 |
1,726 |
$82K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,124 |
2,914 |
$80K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,378 |
2,229 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,064 |
2,844 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
614 |
566 |
$36K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
309 |
278 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
333 |
291 |
$10K |
| 92341 |
|
63 |
56 |
$1K |
| 92250 |
|
16 |
13 |
$382.59 |