| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,610 |
2,465 |
$85K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,806 |
1,689 |
$77K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,500 |
2,144 |
$62K |
| V2020 |
Frames, purchases |
2,109 |
2,024 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,557 |
1,497 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
846 |
719 |
$21K |
| 92250 |
|
562 |
520 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
218 |
215 |
$14K |
| 92342 |
|
97 |
95 |
$2K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
35 |
24 |
$1K |
| 92083 |
|
28 |
25 |
$834.86 |
| 92145 |
|
43 |
41 |
$302.93 |