| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
10,736 |
10,559 |
$400K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,486 |
6,394 |
$325K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,688 |
3,629 |
$244K |
| V2020 |
Frames, purchases |
3,790 |
3,731 |
$108K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,477 |
2,435 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,451 |
3,415 |
$71K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,873 |
1,851 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
288 |
267 |
$10K |
| 92250 |
|
88 |
87 |
$4K |
| 92341 |
|
140 |
139 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
143 |
140 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
60 |
60 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
67 |
67 |
$2K |
| 92370 |
|
208 |
208 |
$1K |