| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
924 |
722 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
253 |
208 |
$8K |
| V2020 |
Frames, purchases |
273 |
267 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
85 |
47 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
84 |
82 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
13 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
12 |
$788.00 |