| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,456 |
1,300 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
461 |
447 |
$20K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
349 |
345 |
$10K |
| V2020 |
Frames, purchases |
277 |
273 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
125 |
122 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
232 |
228 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$842.40 |