| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
1,707 |
1,621 |
$78K |
| 92015 |
Determination of refractive state |
3,056 |
2,837 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
488 |
466 |
$42K |
| V2020 |
Frames, purchases |
275 |
267 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
168 |
164 |
$8K |
| 92250 |
|
255 |
250 |
$7K |
| 92060 |
|
163 |
156 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38 |
38 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
39 |
$0.00 |