| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,200 |
3,309 |
$96K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,324 |
2,745 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,088 |
952 |
$55K |
| V2020 |
Frames, purchases |
688 |
619 |
$18K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
905 |
393 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
476 |
347 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
336 |
323 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
223 |
130 |
$4K |
| 92134 |
|
374 |
292 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
74 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
40 |
$1K |
| 92133 |
|
74 |
66 |
$912.00 |
| 92002 |
|
21 |
12 |
$430.30 |
| 92341 |
|
13 |
13 |
$314.60 |