| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
812 |
751 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
850 |
786 |
$14K |
| V2020 |
Frames, purchases |
828 |
768 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
164 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
127 |
120 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
133 |
127 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
69 |
65 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
46 |
45 |
$2K |
| 92083 |
|
13 |
12 |
$393.04 |