| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
893 |
855 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
656 |
617 |
$29K |
| V2020 |
Frames, purchases |
676 |
642 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
289 |
283 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
553 |
523 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
669 |
642 |
$14K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
397 |
376 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
210 |
188 |
$7K |