| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,258 |
6,966 |
$265K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,343 |
5,149 |
$260K |
| 92250 |
|
5,255 |
5,039 |
$212K |
| V2020 |
Frames, purchases |
6,009 |
5,743 |
$172K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,787 |
4,558 |
$135K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,326 |
5,093 |
$112K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,042 |
2,894 |
$102K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,687 |
2,496 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,320 |
1,273 |
$86K |
| 92083 |
|
1,526 |
1,468 |
$59K |
| 92145 |
|
4,840 |
4,314 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,208 |
1,161 |
$37K |
| 68761 |
|
509 |
226 |
$24K |
| 92133 |
|
878 |
844 |
$20K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
518 |
505 |
$20K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
404 |
383 |
$19K |
| 92341 |
|
420 |
393 |
$10K |
| 92020 |
|
101 |
97 |
$1K |