| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
933 |
872 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
421 |
391 |
$13K |
| V2020 |
Frames, purchases |
476 |
455 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
86 |
83 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
211 |
209 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
68 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
96 |
92 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
27 |
$993.51 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$393.00 |