| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,593 |
1,420 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
757 |
712 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
65 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
24 |
$976.30 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
12 |
$734.60 |
| V2020 |
Frames, purchases |
16 |
15 |
$459.25 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15 |
14 |
$60.00 |
| 99072 |
|
130 |
103 |
$42.00 |