| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,629 |
5,374 |
$233K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,814 |
3,605 |
$228K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,629 |
1,562 |
$139K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,759 |
4,520 |
$136K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,907 |
3,659 |
$90K |
| V2020 |
Frames, purchases |
3,770 |
3,547 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,579 |
2,076 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
666 |
468 |
$4K |
| 92250 |
|
13 |
12 |
$437.74 |