| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,764 |
6,477 |
$239K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,709 |
2,614 |
$130K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,383 |
1,316 |
$86K |
| V2020 |
Frames, purchases |
978 |
941 |
$28K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
847 |
820 |
$24K |
| 92250 |
|
576 |
559 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,036 |
991 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
354 |
344 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
29 |
25 |
$652.31 |