| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
524 |
487 |
$51K |
| 92015 |
Determination of refractive state |
2,192 |
2,075 |
$45K |
| 92002 |
|
1,072 |
1,006 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
736 |
690 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
286 |
281 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
259 |
230 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
428 |
230 |
$0.00 |