| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,062 |
1,048 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
501 |
496 |
$34K |
| V2020 |
Frames, purchases |
963 |
932 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
537 |
529 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
880 |
850 |
$19K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,002 |
973 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
603 |
588 |
$10K |
| V2799 |
Vision item or service, miscellaneous |
1,016 |
984 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
117 |
116 |
$2K |
| 92341 |
|
51 |
50 |
$1K |