| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
383 |
317 |
$8K |
| V2020 |
Frames, purchases |
276 |
230 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
99 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
78 |
$5K |
| 92370 |
|
323 |
265 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
216 |
194 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
78 |
70 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
102 |
101 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
58 |
51 |
$2K |