| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,492 |
2,267 |
$83K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
867 |
819 |
$37K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
879 |
841 |
$24K |
| V2020 |
Frames, purchases |
770 |
728 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
234 |
212 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
642 |
606 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
300 |
280 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
109 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
44 |
42 |
$1K |