| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
863 |
820 |
$36K |
| 92015 |
Determination of refractive state |
1,189 |
1,080 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
423 |
393 |
$22K |
| V2020 |
Frames, purchases |
1,216 |
1,192 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
512 |
497 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,000 |
968 |
$17K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
86 |
85 |
$5K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
293 |
287 |
$5K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
84 |
84 |
$4K |