| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
192 |
182 |
$9K |
| V2020 |
Frames, purchases |
166 |
155 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
122 |
115 |
$4K |
| 92015 |
Determination of refractive state |
368 |
356 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
72 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
55 |
54 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
94 |
85 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
58 |
58 |
$1K |