| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,192 |
1,065 |
$37K |
| 92015 |
Determination of refractive state |
960 |
874 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
544 |
480 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
460 |
448 |
$13K |
| V2020 |
Frames, purchases |
381 |
347 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
79 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
55 |
50 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
27 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$932.06 |