| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,995 |
1,931 |
$73K |
| V2020 |
Frames, purchases |
2,466 |
2,375 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,794 |
1,703 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,456 |
2,383 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,528 |
1,459 |
$48K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,363 |
1,328 |
$46K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,414 |
1,374 |
$40K |
| 92250 |
|
858 |
814 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
251 |
239 |
$14K |
| 92002 |
|
158 |
152 |
$6K |
| 92020 |
|
81 |
76 |
$921.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
53 |
$878.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$447.69 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$381.84 |
| 92341 |
|
12 |
12 |
$294.12 |