| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
721 |
708 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
484 |
476 |
$23K |
| V2020 |
Frames, purchases |
511 |
490 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
191 |
187 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
432 |
345 |
$11K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
364 |
348 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
435 |
415 |
$9K |