| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,911 |
1,809 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
565 |
545 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
310 |
285 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
380 |
360 |
$30K |
| V2020 |
Frames, purchases |
796 |
742 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
513 |
483 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
787 |
728 |
$14K |
| 92002 |
|
13 |
13 |
$818.01 |
| 92250 |
|
19 |
19 |
$70.95 |
| 2023F |
|
24 |
24 |
$0.00 |
| 76512 |
|
36 |
18 |
$0.00 |