| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,063 |
1,006 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
637 |
612 |
$22K |
| V2020 |
Frames, purchases |
501 |
488 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
118 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
303 |
298 |
$5K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
54 |
54 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
64 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$371.83 |