| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,197 |
2,947 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,018 |
1,869 |
$94K |
| V2020 |
Frames, purchases |
2,572 |
2,369 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,263 |
2,088 |
$46K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,486 |
1,391 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,280 |
1,179 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
550 |
510 |
$34K |
| 92341 |
|
14 |
14 |
$318.63 |