| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
174 |
166 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
158 |
151 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
125 |
124 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
46 |
$2K |
| 92015 |
Determination of refractive state |
261 |
250 |
$2K |
| V2020 |
Frames, purchases |
141 |
136 |
$2K |
| 92341 |
|
59 |
57 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
88 |
87 |
$958.90 |