| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,610 |
6,750 |
$234K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,652 |
4,950 |
$217K |
| V2020 |
Frames, purchases |
4,090 |
3,652 |
$106K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,999 |
2,702 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
820 |
758 |
$48K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,082 |
893 |
$29K |
| 92250 |
|
490 |
410 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
49 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
37 |
28 |
$572.82 |