| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92341 |
|
1,325 |
1,286 |
$38K |
| 92015 |
Determination of refractive state |
1,996 |
1,864 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
794 |
699 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,048 |
1,006 |
$24K |
| 92002 |
|
1,077 |
1,034 |
$21K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
462 |
408 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
442 |
395 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
312 |
294 |
$9K |
| V2020 |
Frames, purchases |
506 |
477 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
116 |
90 |
$3K |
| V2025 |
Deluxe frame |
97 |
59 |
$1K |
| 3072F |
|
119 |
111 |
$740.18 |