| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,859 |
2,730 |
$104K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,859 |
1,789 |
$88K |
| 92250 |
|
1,920 |
1,835 |
$73K |
| V2020 |
Frames, purchases |
1,907 |
1,842 |
$54K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,429 |
1,375 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,757 |
1,699 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
521 |
498 |
$33K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
925 |
890 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
26 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
52 |
51 |
$1K |
| 92341 |
|
16 |
14 |
$318.63 |