| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,869 |
1,826 |
$71K |
| V2020 |
Frames, purchases |
1,662 |
1,631 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
777 |
768 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
423 |
406 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
952 |
932 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,551 |
1,526 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
71 |
71 |
$9K |
| 92002 |
|
65 |
65 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
43 |
43 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |