| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
708 |
626 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
237 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
174 |
157 |
$12K |
| 92275 |
|
76 |
65 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
180 |
163 |
$5K |
| 92083 |
|
126 |
103 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
123 |
77 |
$3K |
| 92250 |
|
92 |
74 |
$3K |
| V2020 |
Frames, purchases |
152 |
141 |
$3K |
| 95930 |
|
49 |
39 |
$2K |
| 92145 |
|
208 |
170 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
61 |
52 |
$601.80 |
| 92285 |
|
21 |
14 |
$431.42 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
14 |
$312.16 |
| 92132 |
|
28 |
24 |
$263.01 |
| 76514 |
|
19 |
14 |
$127.21 |