| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,589 |
1,521 |
$40K |
| 92002 |
|
690 |
657 |
$26K |
| V2020 |
Frames, purchases |
431 |
419 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
445 |
412 |
$15K |
| 92250 |
|
232 |
182 |
$6K |
| 92225 |
|
36 |
12 |
$990.40 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
52 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
117 |
116 |
$0.00 |