| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,297 |
2,036 |
$70K |
| 92015 |
Determination of refractive state |
2,282 |
2,011 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
862 |
813 |
$64K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
734 |
693 |
$50K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,472 |
1,303 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,166 |
1,910 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
70 |
69 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
220 |
196 |
$5K |
| 92002 |
|
32 |
30 |
$2K |