| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,223 |
4,077 |
$154K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,633 |
2,560 |
$131K |
| 92250 |
|
2,735 |
2,619 |
$103K |
| V2020 |
Frames, purchases |
3,316 |
3,193 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,230 |
1,163 |
$79K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,224 |
2,136 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,829 |
2,722 |
$59K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,874 |
1,808 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
547 |
473 |
$19K |
| 92082 |
|
168 |
158 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
63 |
$3K |
| 92341 |
|
123 |
121 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
31 |
30 |
$779.59 |