| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,512 |
3,164 |
$132K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,167 |
1,081 |
$50K |
| 92015 |
Determination of refractive state |
4,638 |
4,169 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,050 |
524 |
$21K |
| 92002 |
|
282 |
272 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
226 |
191 |
$10K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,128 |
1,038 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
102 |
90 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |