| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,347 |
2,293 |
$82K |
| 92250 |
|
1,959 |
1,926 |
$69K |
| V2020 |
Frames, purchases |
1,584 |
1,553 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
469 |
467 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
695 |
678 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
154 |
153 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
195 |
189 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
127 |
$4K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
93 |
90 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$334.11 |
| 92341 |
|
13 |
12 |
$294.12 |
| 99072 |
|
33 |
33 |
$0.00 |