| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
828 |
810 |
$57K |
| 92065 |
|
1,235 |
343 |
$55K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
951 |
934 |
$54K |
| 92015 |
Determination of refractive state |
2,913 |
2,877 |
$50K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
759 |
751 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
891 |
875 |
$28K |
| 92002 |
|
294 |
288 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
303 |
292 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
42 |
39 |
$3K |
| 92060 |
|
27 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$864.94 |