| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,396 |
3,139 |
$112K |
| 92250 |
|
3,498 |
3,162 |
$96K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,067 |
1,902 |
$90K |
| V2020 |
Frames, purchases |
2,987 |
2,820 |
$83K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,897 |
2,726 |
$59K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,939 |
1,824 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
986 |
894 |
$57K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,680 |
1,600 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
134 |
131 |
$4K |
| 92060 |
|
42 |
38 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
26 |
$579.60 |
| 92341 |
|
14 |
14 |
$343.14 |