| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,635 |
1,588 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,387 |
1,332 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
420 |
404 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
207 |
198 |
$6K |
| V2020 |
Frames, purchases |
383 |
362 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
51 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
65 |
62 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
190 |
97 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$715.39 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$172.10 |