| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
897 |
856 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
553 |
528 |
$20K |
| V2020 |
Frames, purchases |
488 |
469 |
$9K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
138 |
138 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
321 |
304 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
81 |
78 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$413.54 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$301.07 |