| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
2,172 |
2,073 |
$219K |
| 92015 |
Determination of refractive state |
5,327 |
5,094 |
$96K |
| 99336 |
|
714 |
664 |
$46K |
| 68761 |
|
740 |
401 |
$44K |
| 99344 |
|
216 |
197 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
226 |
226 |
$20K |
| 99327 |
|
85 |
84 |
$14K |
| 92250 |
|
298 |
266 |
$11K |
| 99348 |
|
84 |
84 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
45 |
$4K |
| 92082 |
|
76 |
73 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
13 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| V2020 |
Frames, purchases |
41 |
39 |
$700.00 |
| 76514 |
|
50 |
39 |
$544.40 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
52 |
50 |
$0.00 |
| 2023F |
|
157 |
154 |
$0.00 |