| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
231 |
226 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
144 |
140 |
$7K |
| 92250 |
|
81 |
77 |
$3K |
| V2020 |
Frames, purchases |
103 |
102 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
120 |
116 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
77 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
48 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
36 |
34 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$944.68 |
| 95930 |
|
12 |
12 |
$727.44 |
| 92275 |
|
13 |
13 |
$725.76 |
| 92083 |
|
14 |
14 |
$559.91 |
| 92133 |
|
12 |
12 |
$307.80 |
| 92025 |
|
13 |
12 |
$211.69 |
| 76514 |
|
12 |
12 |
$75.35 |