| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,375 |
1,207 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
855 |
770 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
222 |
196 |
$13K |
| V2020 |
Frames, purchases |
177 |
131 |
$5K |
| 92002 |
|
28 |
26 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
44 |
42 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$843.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$396.04 |
| G8785 |
Blood pressure reading not documented, reason not given |
32 |
28 |
$32.25 |
| 3072F |
|
16 |
15 |
$0.00 |