| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,012 |
958 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
472 |
435 |
$22K |
| V2020 |
Frames, purchases |
851 |
808 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
690 |
652 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
458 |
239 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
114 |
110 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
228 |
112 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
40 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$823.48 |