| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,656 |
4,577 |
$172K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,575 |
2,530 |
$172K |
| V2020 |
Frames, purchases |
3,686 |
3,605 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,987 |
1,955 |
$100K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,518 |
3,442 |
$75K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,521 |
2,475 |
$43K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,439 |
2,383 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
604 |
591 |
$9K |
| V2799 |
Vision item or service, miscellaneous |
952 |
931 |
$7K |
| 92250 |
|
183 |
178 |
$7K |
| 92341 |
|
128 |
124 |
$3K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
109 |
105 |
$3K |