| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,308 |
1,285 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
830 |
812 |
$26K |
| 92002 |
|
14 |
14 |
$458.50 |
| V2020 |
Frames, purchases |
950 |
937 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
148 |
148 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
167 |
164 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
234 |
228 |
$0.00 |
| V2781 |
Progressive lens, per lens |
114 |
114 |
$0.00 |