| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
8,468 |
7,452 |
$260K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,893 |
5,222 |
$224K |
| V2020 |
Frames, purchases |
4,023 |
3,735 |
$109K |
| 92250 |
|
2,617 |
2,227 |
$73K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,163 |
2,058 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,934 |
1,823 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,064 |
1,322 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
626 |
558 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
78 |
53 |
$1K |