| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,345 |
1,276 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
476 |
470 |
$23K |
| V2020 |
Frames, purchases |
485 |
476 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
374 |
365 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
382 |
203 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
83 |
81 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
69 |
66 |
$2K |