| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,645 |
2,581 |
$80K |
| 92015 |
Determination of refractive state |
1,224 |
1,200 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
506 |
493 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
290 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
489 |
484 |
$11K |
| V2020 |
Frames, purchases |
260 |
258 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 92283 |
|
76 |
75 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
41 |
$360.05 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
62 |
31 |
$0.00 |