| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,072 |
1,003 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
776 |
710 |
$17K |
| 92002 |
|
343 |
323 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
524 |
506 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
155 |
153 |
$7K |
| V2020 |
Frames, purchases |
653 |
624 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
237 |
228 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
15 |
$1K |