| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,624 |
1,346 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
703 |
628 |
$27K |
| V2020 |
Frames, purchases |
270 |
222 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
107 |
95 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
44 |
40 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
49 |
42 |
$1K |