| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,970 |
3,833 |
$146K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,474 |
2,408 |
$124K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,274 |
4,044 |
$120K |
| V2020 |
Frames, purchases |
4,185 |
3,968 |
$119K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,139 |
3,918 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,327 |
1,260 |
$84K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,800 |
2,657 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
725 |
694 |
$17K |
| 92341 |
|
12 |
12 |
$294.12 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$280.80 |