| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
867 |
856 |
$56K |
| V2020 |
Frames, purchases |
810 |
785 |
$39K |
| 92015 |
Determination of refractive state |
1,106 |
1,089 |
$36K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
735 |
720 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
294 |
285 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
262 |
170 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
307 |
177 |
$8K |