| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,638 |
1,429 |
$100K |
| V2020 |
Frames, purchases |
2,807 |
2,402 |
$81K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,675 |
3,242 |
$76K |
| 92015 |
Determination of refractive state |
4,490 |
4,018 |
$55K |
| 92002 |
|
636 |
565 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,296 |
1,132 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
27 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
13 |
$647.88 |
| 3072F |
|
1,155 |
1,085 |
$20.00 |