| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92083 |
|
527 |
486 |
$18K |
| 92015 |
Determination of refractive state |
582 |
544 |
$18K |
| 92250 |
|
507 |
471 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
561 |
475 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
136 |
133 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
118 |
$4K |
| V2020 |
Frames, purchases |
159 |
134 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
67 |
63 |
$1K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
15 |
13 |
$383.24 |
| 83861 |
|
30 |
14 |
$340.80 |
| 92145 |
|
13 |
12 |
$59.10 |