| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
9,941 |
9,665 |
$365K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,522 |
6,338 |
$306K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,026 |
2,962 |
$200K |
| V2020 |
Frames, purchases |
6,487 |
6,305 |
$186K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,237 |
6,101 |
$131K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,769 |
2,717 |
$86K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,142 |
2,083 |
$59K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
478 |
474 |
$14K |
| 92341 |
|
29 |
27 |
$637.26 |
| 92250 |
|
14 |
13 |
$504.40 |