| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,279 |
1,229 |
$42K |
| 92015 |
Determination of refractive state |
1,248 |
1,187 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
566 |
456 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
509 |
485 |
$18K |
| V2020 |
Frames, purchases |
895 |
839 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
749 |
695 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
210 |
191 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
46 |
42 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
132 |
116 |
$1K |