| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,078 |
2,865 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,104 |
1,043 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
357 |
328 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
873 |
833 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
365 |
346 |
$14K |
| V2020 |
Frames, purchases |
93 |
92 |
$2K |
| 92341 |
|
71 |
70 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
32 |
32 |
$806.16 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$545.09 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27 |
27 |
$278.00 |