| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,125 |
2,836 |
$111K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,835 |
1,694 |
$86K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,606 |
1,470 |
$43K |
| V2020 |
Frames, purchases |
1,397 |
1,282 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,548 |
1,423 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
622 |
579 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
749 |
395 |
$12K |
| 99243 |
|
68 |
58 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
59 |
59 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
231 |
127 |
$4K |
| 92134 |
|
57 |
49 |
$392.21 |
| 92020 |
|
13 |
12 |
$79.15 |