| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
724 |
667 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
271 |
256 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
213 |
173 |
$13K |
| V2020 |
Frames, purchases |
186 |
167 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
165 |
150 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16 |
12 |
$399.33 |