| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
467 |
435 |
$14K |
| 92015 |
Determination of refractive state |
629 |
594 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
110 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
243 |
236 |
$5K |
| V2020 |
Frames, purchases |
295 |
272 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
111 |
96 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
102 |
100 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$0.00 |