| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,671 |
2,582 |
$96K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,335 |
1,293 |
$62K |
| V2020 |
Frames, purchases |
2,002 |
1,903 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
583 |
575 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,641 |
1,557 |
$34K |
| 92250 |
|
825 |
787 |
$31K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
560 |
536 |
$19K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
559 |
527 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
92 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
51 |
51 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
19 |
18 |
$631.80 |