| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,536 |
1,406 |
$45K |
| 92015 |
Determination of refractive state |
1,691 |
1,460 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
341 |
306 |
$19K |
| V2020 |
Frames, purchases |
410 |
395 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
772 |
373 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
202 |
193 |
$4K |
| 92250 |
|
81 |
70 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
50 |
$1K |
| 92083 |
|
72 |
44 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23 |
12 |
$403.65 |