| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
2,008 |
1,913 |
$86K |
| 92015 |
Determination of refractive state |
2,520 |
2,351 |
$57K |
| V2020 |
Frames, purchases |
951 |
942 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
169 |
155 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
50 |
50 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
58 |
58 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
51 |
51 |
$0.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
18 |
18 |
$0.00 |