| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,017 |
928 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
351 |
322 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
265 |
203 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
285 |
269 |
$8K |
| V2020 |
Frames, purchases |
279 |
263 |
$5K |
| 92250 |
|
136 |
106 |
$4K |
| 92285 |
|
138 |
101 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
72 |
58 |
$763.40 |
| 92083 |
|
22 |
12 |
$658.80 |