| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,256 |
1,007 |
$35K |
| V2020 |
Frames, purchases |
315 |
262 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
227 |
175 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
95 |
79 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
75 |
56 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36 |
27 |
$828.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
16 |
$579.60 |