| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,125 |
1,024 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
747 |
677 |
$24K |
| V2020 |
Frames, purchases |
778 |
746 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
610 |
583 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
119 |
102 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
125 |
124 |
$4K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
71 |
66 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
12 |
$406.00 |