| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
484 |
467 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
163 |
159 |
$6K |
| V2020 |
Frames, purchases |
387 |
364 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
182 |
178 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
41 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
12 |
$414.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
16 |
$365.76 |