| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
584 |
558 |
$18K |
| V2020 |
Frames, purchases |
502 |
475 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
291 |
280 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
180 |
167 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
288 |
282 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
375 |
362 |
$7K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
255 |
242 |
$7K |