| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,642 |
1,598 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
992 |
970 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
502 |
486 |
$31K |
| V2020 |
Frames, purchases |
991 |
968 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
609 |
561 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
826 |
809 |
$17K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
505 |
497 |
$14K |
| 92250 |
|
206 |
199 |
$8K |
| 92341 |
|
27 |
27 |
$612.75 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
13 |
$548.90 |