| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,608 |
1,561 |
$58K |
| V2020 |
Frames, purchases |
1,467 |
1,427 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
819 |
800 |
$41K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,036 |
1,010 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,259 |
1,215 |
$26K |
| 92250 |
|
221 |
213 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
94 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
77 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
68 |
66 |
$2K |