| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,305 |
1,230 |
$22K |
| 92341 |
|
351 |
338 |
$9K |
| 92002 |
|
961 |
867 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
403 |
371 |
$3K |
| V2020 |
Frames, purchases |
48 |
44 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
63 |
54 |
$463.25 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
31 |
27 |
$441.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$23.40 |