| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,462 |
3,016 |
$104K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,820 |
1,558 |
$69K |
| V2020 |
Frames, purchases |
1,410 |
1,342 |
$40K |
| 92250 |
|
1,122 |
893 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,068 |
1,008 |
$22K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
559 |
530 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
172 |
161 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
369 |
269 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
252 |
219 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$270.47 |
| 92145 |
|
46 |
37 |
$108.35 |