| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,506 |
3,342 |
$119K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,912 |
2,742 |
$104K |
| V2020 |
Frames, purchases |
949 |
917 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
605 |
587 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
356 |
347 |
$11K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
203 |
191 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
55 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90 |
78 |
$3K |
| 99336 |
|
63 |
62 |
$1K |
| 92250 |
|
13 |
13 |
$376.37 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$306.82 |
| 92133 |
|
13 |
12 |
$152.20 |