| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
996 |
700 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
249 |
158 |
$8K |
| V2020 |
Frames, purchases |
414 |
277 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
192 |
126 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
216 |
113 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
21 |
$1K |