| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,511 |
3,953 |
$149K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,090 |
2,985 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,505 |
1,226 |
$73K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,428 |
1,387 |
$63K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,597 |
1,508 |
$29K |
| V2020 |
Frames, purchases |
1,884 |
1,785 |
$25K |
| 92002 |
|
142 |
139 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
111 |
82 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
175 |
166 |
$5K |
| 3072F |
|
12 |
12 |
$0.00 |