| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,088 |
3,829 |
$142K |
| V2020 |
Frames, purchases |
2,224 |
2,143 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,489 |
1,430 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
994 |
927 |
$59K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,861 |
1,787 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,021 |
1,964 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,141 |
1,112 |
$34K |
| 92250 |
|
533 |
247 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
393 |
352 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
41 |
$877.88 |