| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
878 |
788 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
249 |
209 |
$20K |
| V2020 |
Frames, purchases |
666 |
566 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
593 |
502 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
142 |
134 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
37 |
$5K |
| 92250 |
|
88 |
84 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
43 |
42 |
$2K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
14 |
13 |
$1K |