| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
732 |
698 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
281 |
269 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
254 |
240 |
$9K |
| V2020 |
Frames, purchases |
317 |
306 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
79 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
48 |
45 |
$692.88 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
15 |
14 |
$360.00 |