| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,701 |
4,362 |
$83K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,738 |
2,518 |
$81K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,795 |
3,316 |
$79K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,640 |
1,511 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
501 |
434 |
$22K |
| 92341 |
|
328 |
321 |
$10K |
| V2020 |
Frames, purchases |
292 |
266 |
$7K |
| 92083 |
|
55 |
53 |
$2K |
| 92133 |
|
71 |
67 |
$1K |
| 92002 |
|
18 |
14 |
$468.35 |
| 92134 |
|
12 |
12 |
$78.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
12 |
$65.00 |
| 2023F |
|
15 |
15 |
$0.00 |
| 3072F |
|
14 |
14 |
$0.00 |