| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,672 |
1,443 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
629 |
584 |
$27K |
| V2020 |
Frames, purchases |
552 |
480 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
236 |
194 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
240 |
208 |
$4K |
| 92250 |
|
102 |
93 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
51 |
50 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
22 |
19 |
$604.58 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
34 |
27 |
$486.42 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$396.39 |