| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,323 |
6,292 |
$211K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,750 |
4,711 |
$207K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
1,295 |
1,288 |
$177K |
| V2020 |
Frames, purchases |
5,189 |
5,152 |
$138K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,447 |
1,444 |
$86K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,965 |
3,933 |
$81K |
| 92100 |
|
1,975 |
1,969 |
$81K |
| 92310 |
|
1,348 |
1,341 |
$58K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,643 |
1,629 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,318 |
1,306 |
$39K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,377 |
1,360 |
$39K |
| 92341 |
|
1,186 |
1,179 |
$22K |
| 92325 |
Contact lens gas impermeable |
1,126 |
1,119 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
213 |
211 |
$8K |
| 92314 |
|
226 |
226 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
165 |
162 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
81 |
81 |
$2K |