| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,236 |
2,207 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,590 |
1,567 |
$82K |
| V2020 |
Frames, purchases |
1,102 |
1,077 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
716 |
629 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
908 |
883 |
$18K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
220 |
213 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
62 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
155 |
152 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
88 |
83 |
$2K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |