| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,099 |
2,017 |
$75K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,166 |
1,109 |
$56K |
| V2020 |
Frames, purchases |
1,750 |
1,643 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,097 |
1,038 |
$23K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
781 |
737 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
240 |
229 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
99 |
$7K |
| 92341 |
|
150 |
139 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
27 |
27 |
$779.59 |