| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
307 |
231 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
125 |
$6K |
| V2020 |
Frames, purchases |
165 |
130 |
$4K |
| 92370 |
|
209 |
167 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
54 |
43 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
122 |
111 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
34 |
26 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
14 |
$1K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
42 |
42 |
$996.00 |