| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,802 |
4,060 |
$144K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,389 |
2,935 |
$138K |
| V2020 |
Frames, purchases |
2,072 |
1,857 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,264 |
1,149 |
$25K |
| 92250 |
|
884 |
731 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
440 |
371 |
$11K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
327 |
295 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
120 |
96 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
224 |
160 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
55 |
$1K |
| 92310 |
|
15 |
13 |
$600.60 |
| 92083 |
|
17 |
14 |
$473.77 |
| 92133 |
|
14 |
12 |
$256.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
30 |
14 |
$0.00 |