| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,243 |
1,178 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
442 |
437 |
$15K |
| V2020 |
Frames, purchases |
266 |
261 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
85 |
83 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
50 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
36 |
$931.56 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$728.86 |
| 92002 |
|
13 |
13 |
$622.05 |
| V2756 |
Eye glass case |
115 |
110 |
$93.45 |