| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,583 |
1,456 |
$52K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
802 |
771 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
375 |
357 |
$23K |
| V2020 |
Frames, purchases |
630 |
616 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
446 |
440 |
$10K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
107 |
104 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
26 |
$619.13 |