| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
261 |
258 |
$14K |
| V2020 |
Frames, purchases |
246 |
243 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
71 |
68 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
108 |
106 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
221 |
218 |
$2K |
| 92002 |
|
33 |
32 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
63 |
62 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$2K |