| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
738 |
691 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
381 |
353 |
$22K |
| V2020 |
Frames, purchases |
308 |
293 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
274 |
264 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
135 |
130 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
97 |
88 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
88 |
86 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
28 |
$888.72 |