| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,739 |
1,691 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
904 |
882 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
229 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
357 |
340 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
173 |
170 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
173 |
168 |
$7K |
| 92250 |
|
117 |
112 |
$3K |
| V2020 |
Frames, purchases |
67 |
67 |
$823.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$566.93 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$321.68 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
51 |
51 |
$282.00 |