| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,332 |
1,280 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
516 |
507 |
$17K |
| 92002 |
|
316 |
312 |
$10K |
| V2020 |
Frames, purchases |
632 |
622 |
$2K |
| V2199 |
Not otherwise classified, single vision lens |
15 |
12 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
550 |
545 |
$0.00 |
| V2781 |
Progressive lens, per lens |
148 |
147 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
525 |
519 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
82 |
82 |
$0.00 |