| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,825 |
6,305 |
$228K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,244 |
3,977 |
$198K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,593 |
5,125 |
$148K |
| V2020 |
Frames, purchases |
5,382 |
4,927 |
$142K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,334 |
4,018 |
$138K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,385 |
4,932 |
$107K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,573 |
1,437 |
$95K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,468 |
2,218 |
$76K |
| 92250 |
|
955 |
876 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
468 |
410 |
$13K |
| 83861 |
|
226 |
92 |
$2K |
| 92060 |
|
77 |
71 |
$2K |
| 92341 |
|
51 |
50 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$451.90 |