| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,825 |
1,665 |
$60K |
| V2020 |
Frames, purchases |
1,062 |
973 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
530 |
494 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
778 |
711 |
$15K |
| 92250 |
|
370 |
330 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
487 |
431 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
182 |
162 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
76 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$991.65 |