| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,554 |
2,386 |
$61K |
| 92002 |
|
1,607 |
1,488 |
$56K |
| 92020 |
|
1,970 |
1,831 |
$31K |
| V2020 |
Frames, purchases |
820 |
768 |
$29K |
| 92250 |
|
1,141 |
1,031 |
$29K |
| 92083 |
|
1,038 |
984 |
$29K |
| 92081 |
|
914 |
823 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
423 |
196 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
350 |
335 |
$7K |
| 92285 |
|
188 |
171 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
60 |
59 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
412 |
277 |
$0.00 |
| 3072F |
|
225 |
224 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
76 |
74 |
$0.00 |
| 92228 |
|
17 |
13 |
$0.00 |
| V2199 |
Not otherwise classified, single vision lens |
53 |
53 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
17 |
13 |
$0.00 |