| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
594 |
425 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
306 |
219 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
273 |
212 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
187 |
132 |
$6K |
| V2020 |
Frames, purchases |
200 |
191 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
13 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21 |
19 |
$316.05 |