| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,603 |
3,265 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,132 |
1,106 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
652 |
626 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
192 |
170 |
$9K |
| 92002 |
|
164 |
161 |
$8K |
| V2020 |
Frames, purchases |
491 |
463 |
$4K |
| 92250 |
|
64 |
52 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32 |
29 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
132 |
124 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
68 |
66 |
$594.69 |
| V2756 |
Eye glass case |
443 |
417 |
$491.58 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
15 |
$92.54 |