| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
669 |
653 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
181 |
172 |
$8K |
| V2020 |
Frames, purchases |
206 |
200 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
325 |
316 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
93 |
78 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
85 |
81 |
$2K |
| 92250 |
|
46 |
43 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$696.20 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
31 |
29 |
$461.39 |