| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,458 |
1,285 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,066 |
948 |
$48K |
| V2020 |
Frames, purchases |
1,424 |
1,275 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
840 |
766 |
$26K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,010 |
915 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,219 |
1,105 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
333 |
303 |
$20K |
| 92341 |
|
66 |
59 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
14 |
$413.66 |