| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,522 |
3,967 |
$140K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,627 |
1,462 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,055 |
1,896 |
$88K |
| V2020 |
Frames, purchases |
677 |
648 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
495 |
475 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
251 |
$7K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
248 |
239 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
180 |
174 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
101 |
97 |
$3K |
| 92250 |
|
101 |
83 |
$2K |