| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,884 |
1,608 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,075 |
994 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
748 |
535 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
838 |
762 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
151 |
97 |
$6K |
| V2020 |
Frames, purchases |
594 |
552 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
212 |
201 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
32 |
15 |
$319.94 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
12 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
26 |
26 |
$0.00 |