| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
321 |
308 |
$14K |
| 92015 |
Determination of refractive state |
302 |
288 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
139 |
130 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
163 |
152 |
$4K |
| V2020 |
Frames, purchases |
163 |
152 |
$2K |
| 92082 |
|
54 |
54 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
30 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
85 |
79 |
$1K |