| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,246 |
1,181 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
524 |
505 |
$43K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
762 |
734 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,156 |
1,102 |
$33K |
| V2020 |
Frames, purchases |
1,023 |
963 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
355 |
347 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
85 |
84 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
473 |
438 |
$4K |