| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,477 |
6,220 |
$115K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,496 |
3,263 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,987 |
1,830 |
$93K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,857 |
1,786 |
$87K |
| 92002 |
|
1,144 |
1,127 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,338 |
1,328 |
$31K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
381 |
362 |
$18K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
267 |
266 |
$13K |
| V2020 |
Frames, purchases |
442 |
441 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
378 |
378 |
$9K |
| 92341 |
|
84 |
80 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
208 |
208 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
13 |
$70.00 |
| 3072F |
|
319 |
319 |
$0.00 |