| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
602 |
593 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
203 |
200 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
280 |
272 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
105 |
102 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
70 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
56 |
$3K |
| V2020 |
Frames, purchases |
90 |
87 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
63 |
61 |
$1K |