| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,172 |
1,166 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
551 |
549 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
816 |
814 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
151 |
147 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
882 |
880 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
397 |
396 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$0.00 |
| V2020 |
Frames, purchases |
1,128 |
1,120 |
$0.00 |
| 2024F |
|
334 |
334 |
$0.00 |