| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
451 |
438 |
$16K |
| 92250 |
|
389 |
370 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
286 |
284 |
$14K |
| V2020 |
Frames, purchases |
284 |
277 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
269 |
262 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
204 |
189 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
149 |
136 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
59 |
59 |
$4K |
| 83861 |
|
276 |
138 |
$4K |
| 92025 |
|
134 |
134 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
55 |
$2K |
| 92083 |
|
43 |
37 |
$2K |
| 92285 |
|
51 |
51 |
$1K |
| 92133 |
|
35 |
33 |
$815.98 |
| 92275 |
|
13 |
13 |
$786.24 |
| 95930 |
|
12 |
12 |
$727.44 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
25 |
$525.03 |
| 92341 |
|
12 |
12 |
$294.12 |
| 76514 |
|
33 |
31 |
$198.65 |