| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,826 |
1,701 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
958 |
920 |
$42K |
| V2020 |
Frames, purchases |
1,469 |
1,398 |
$41K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
780 |
741 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,068 |
1,011 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
211 |
201 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
327 |
317 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
25 |
$450.14 |
| 92341 |
|
12 |
12 |
$294.12 |