| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,120 |
1,065 |
$23K |
| 92002 |
|
700 |
688 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
255 |
244 |
$0.00 |
| V2020 |
Frames, purchases |
1,011 |
942 |
$0.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
204 |
200 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
45 |
43 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
460 |
424 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
359 |
352 |
$0.00 |
| V2781 |
Progressive lens, per lens |
17 |
13 |
$0.00 |