| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83861 |
|
798 |
416 |
$13K |
| 92015 |
Determination of refractive state |
393 |
362 |
$12K |
| V2020 |
Frames, purchases |
240 |
204 |
$7K |
| 68761 |
|
38 |
25 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
45 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
48 |
41 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
33 |
31 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
108 |
99 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
16 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
46 |
43 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
13 |
$793.22 |