| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
544 |
529 |
$19K |
| 92015 |
Determination of refractive state |
525 |
503 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
272 |
265 |
$10K |
| V2020 |
Frames, purchases |
270 |
263 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
145 |
141 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
146 |
145 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
52 |
52 |
$2K |
| 92002 |
|
12 |
12 |
$532.59 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$300.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$212.90 |