| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,130 |
1,006 |
$43K |
| 92060 |
|
767 |
692 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
246 |
212 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
149 |
121 |
$14K |
| V2020 |
Frames, purchases |
434 |
381 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
534 |
477 |
$10K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
162 |
153 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
185 |
161 |
$5K |
| 92002 |
|
78 |
75 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
118 |
104 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
13 |
$725.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
241 |
227 |
$0.00 |