| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
935 |
825 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
282 |
236 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
133 |
126 |
$15K |
| V2020 |
Frames, purchases |
421 |
350 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
331 |
268 |
$6K |
| 92250 |
|
179 |
154 |
$6K |
| 83861 |
|
150 |
88 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
94 |
74 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$481.52 |