| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
775 |
736 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
449 |
431 |
$21K |
| V2020 |
Frames, purchases |
646 |
622 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
391 |
375 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
204 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
120 |
116 |
$4K |
| 92250 |
|
47 |
40 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$835.44 |
| 92083 |
|
13 |
12 |
$516.84 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$365.93 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
13 |
12 |
$324.28 |
| 92133 |
|
12 |
12 |
$282.15 |