| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,768 |
1,652 |
$47K |
| V2020 |
Frames, purchases |
1,643 |
1,575 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
806 |
768 |
$39K |
| 92370 |
|
2,097 |
1,983 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
562 |
526 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,312 |
1,241 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
262 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
293 |
277 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
203 |
194 |
$7K |
| 92250 |
|
25 |
25 |
$861.75 |
| 92341 |
|
37 |
37 |
$728.48 |
| 92342 |
|
26 |
26 |
$541.60 |
| 92133 |
|
23 |
13 |
$497.88 |
| V2756 |
Eye glass case |
19 |
18 |
$51.68 |