| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,212 |
2,045 |
$54K |
| 92002 |
|
838 |
808 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
586 |
562 |
$22K |
| V2020 |
Frames, purchases |
932 |
893 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
133 |
117 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
152 |
140 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
17 |
17 |
$0.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
191 |
190 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
40 |
29 |
$0.00 |