| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,650 |
3,512 |
$140K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,949 |
1,902 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,771 |
2,701 |
$86K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,450 |
2,383 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
364 |
350 |
$29K |
| V2020 |
Frames, purchases |
3,510 |
3,416 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,970 |
1,916 |
$17K |
| 92250 |
|
84 |
78 |
$3K |
| 2024F |
|
647 |
643 |
$0.00 |