| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,741 |
2,529 |
$92K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,486 |
1,353 |
$63K |
| V2020 |
Frames, purchases |
1,865 |
1,745 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
589 |
551 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
801 |
744 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
877 |
810 |
$16K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
612 |
566 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
26 |
$858.72 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
44 |
44 |
$0.00 |