| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,367 |
2,319 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,231 |
1,198 |
$73K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,198 |
2,103 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,573 |
2,436 |
$71K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,924 |
1,887 |
$38K |
| V2020 |
Frames, purchases |
2,240 |
2,131 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
142 |
139 |
$12K |