| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,253 |
4,713 |
$171K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,287 |
3,011 |
$146K |
| V2020 |
Frames, purchases |
3,473 |
3,260 |
$95K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,906 |
2,715 |
$58K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,328 |
1,333 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
700 |
622 |
$40K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,150 |
571 |
$16K |
| 92341 |
|
26 |
26 |
$612.75 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38 |
24 |
$540.94 |