| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,350 |
4,007 |
$538K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,212 |
1,076 |
$87K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,034 |
978 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
703 |
687 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,789 |
2,507 |
$169.80 |
| V2020 |
Frames, purchases |
763 |
720 |
$152.35 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
534 |
504 |
$58.98 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
564 |
534 |
$29.40 |
| 92370 |
|
27 |
25 |
$0.00 |