| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,241 |
7,040 |
$273K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,289 |
5,136 |
$260K |
| V2020 |
Frames, purchases |
6,618 |
6,427 |
$191K |
| 92250 |
|
4,682 |
4,551 |
$187K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,285 |
6,023 |
$130K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,857 |
3,755 |
$118K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,919 |
3,818 |
$112K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,358 |
1,323 |
$88K |
| 92060 |
|
2,583 |
2,529 |
$74K |
| 92285 |
|
1,683 |
1,638 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
958 |
929 |
$24K |
| 92083 |
|
505 |
480 |
$21K |
| 92133 |
|
425 |
418 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
213 |
201 |
$7K |
| 92283 |
|
75 |
69 |
$1K |
| 92341 |
|
15 |
15 |
$367.65 |
| 92134 |
|
12 |
12 |
$307.80 |