| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,215 |
2,024 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
860 |
794 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
897 |
822 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,018 |
944 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
892 |
832 |
$12K |
| V2020 |
Frames, purchases |
1,092 |
998 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
234 |
213 |
$2K |
| 3072F |
|
205 |
194 |
$0.00 |