| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,961 |
6,907 |
$243K |
| 92250 |
|
6,529 |
5,934 |
$228K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,380 |
3,922 |
$179K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,734 |
3,529 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,531 |
1,420 |
$89K |
| V2020 |
Frames, purchases |
3,183 |
3,014 |
$89K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,301 |
2,154 |
$46K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,432 |
1,345 |
$43K |
| 92341 |
|
782 |
772 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
178 |
121 |
$3K |