| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,132 |
912 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,011 |
788 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
869 |
820 |
$32K |
| 92015 |
Determination of refractive state |
1,823 |
1,536 |
$19K |
| V2020 |
Frames, purchases |
630 |
591 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
312 |
305 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
46 |
45 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
182 |
171 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
61 |
$2K |
| V2756 |
Eye glass case |
624 |
582 |
$652.50 |