| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
717 |
703 |
$20K |
| 92002 |
|
195 |
193 |
$6K |
| V2020 |
Frames, purchases |
515 |
506 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
41 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
42 |
$913.50 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
92 |
88 |
$0.00 |
| 3072F |
|
27 |
27 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
38 |
$0.00 |