| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,345 |
4,229 |
$176K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,467 |
2,377 |
$150K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,051 |
3,950 |
$120K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
943 |
911 |
$81K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,213 |
1,168 |
$56K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,356 |
1,296 |
$22K |
| V2020 |
Frames, purchases |
1,768 |
1,691 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
172 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$476.46 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
33 |
33 |
$0.00 |