| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,006 |
832 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
93 |
79 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
600 |
507 |
$9K |
| V2020 |
Frames, purchases |
85 |
78 |
$3K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
43 |
39 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
13 |
$1K |
| 3072F |
|
12 |
12 |
$0.00 |