| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,380 |
1,773 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,229 |
953 |
$48K |
| V2020 |
Frames, purchases |
1,069 |
1,029 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
869 |
826 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
415 |
395 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
341 |
326 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
138 |
105 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
25 |
$684.13 |