| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,874 |
1,807 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
679 |
658 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
291 |
282 |
$18K |
| V2020 |
Frames, purchases |
436 |
418 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
327 |
323 |
$7K |
| 92250 |
|
178 |
175 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
170 |
164 |
$5K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
26 |
26 |
$747.26 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$342.80 |