| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,952 |
1,266 |
$22K |
| 92341 |
|
672 |
623 |
$15K |
| 92250 |
|
246 |
230 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
83 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16 |
12 |
$241.36 |
| V2020 |
Frames, purchases |
12 |
12 |
$180.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
41 |
$158.97 |
| 92083 |
|
76 |
72 |
$135.60 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
12 |
$60.00 |
| 92133 |
|
25 |
25 |
$31.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$14.50 |
| 92275 |
|
12 |
12 |
$0.00 |