| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
377 |
324 |
$22K |
| 92015 |
Determination of refractive state |
596 |
544 |
$20K |
| V2020 |
Frames, purchases |
551 |
479 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
461 |
449 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
308 |
296 |
$9K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
127 |
124 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
64 |
64 |
$3K |