| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,210 |
1,111 |
$81K |
| V2020 |
Frames, purchases |
2,334 |
2,181 |
$77K |
| 92015 |
Determination of refractive state |
2,307 |
2,144 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,358 |
1,306 |
$49K |
| 92002 |
|
532 |
515 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,262 |
2,111 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
63 |
60 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
183 |
142 |
$4K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
25 |
25 |
$943.28 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
13 |
$0.00 |