| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
687 |
606 |
$39K |
| 92015 |
Determination of refractive state |
1,321 |
1,079 |
$39K |
| V2020 |
Frames, purchases |
967 |
787 |
$23K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
578 |
519 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
373 |
289 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
742 |
610 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
388 |
295 |
$8K |
| 92250 |
|
69 |
58 |
$2K |
| 92285 |
|
99 |
83 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
29 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
35 |
28 |
$604.58 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
12 |
$0.00 |