| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
684 |
659 |
$55K |
| V2020 |
Frames, purchases |
941 |
915 |
$42K |
| 92250 |
|
190 |
183 |
$11K |
| 92015 |
Determination of refractive state |
559 |
534 |
$10K |
| 92083 |
|
164 |
158 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
329 |
326 |
$7K |
| 92285 |
|
159 |
152 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
60 |
56 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
13 |
$966.01 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19 |
12 |
$665.16 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15 |
15 |
$107.10 |