| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,885 |
1,825 |
$50K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,051 |
1,017 |
$33K |
| 92002 |
|
276 |
262 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$540.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
332 |
321 |
$0.00 |
| V2020 |
Frames, purchases |
1,244 |
1,194 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
49 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
492 |
465 |
$0.00 |
| 3072F |
|
191 |
186 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
554 |
533 |
$0.00 |
| 2023F |
|
169 |
168 |
$0.00 |