| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,752 |
2,651 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,265 |
1,204 |
$79K |
| V2020 |
Frames, purchases |
2,163 |
2,078 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,140 |
1,100 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,841 |
1,770 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
676 |
644 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
218 |
216 |
$5K |