| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,446 |
1,417 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,300 |
1,202 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
471 |
461 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
358 |
353 |
$14K |
| 92002 |
|
75 |
75 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
41 |
$2K |
| V2020 |
Frames, purchases |
283 |
279 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
142 |
138 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
265 |
263 |
$0.00 |