| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,139 |
1,106 |
$46K |
| 92015 |
Determination of refractive state |
1,122 |
1,077 |
$23K |
| V2020 |
Frames, purchases |
1,357 |
1,304 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
458 |
441 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,044 |
990 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
248 |
234 |
$14K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
288 |
271 |
$5K |