| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,867 |
2,704 |
$121K |
| 92002 |
|
1,243 |
1,242 |
$82K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
783 |
778 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
482 |
466 |
$41K |
| V2020 |
Frames, purchases |
1,099 |
961 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
240 |
207 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
964 |
853 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
362 |
201 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
392 |
200 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16 |
13 |
$0.00 |
| V2025 |
Deluxe frame |
36 |
25 |
$0.00 |