| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,197 |
1,195 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,907 |
1,902 |
$58K |
| 92015 |
Determination of refractive state |
1,969 |
1,968 |
$35K |
| 92002 |
|
346 |
346 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
822 |
820 |
$20K |
| V2020 |
Frames, purchases |
1,890 |
1,885 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
631 |
629 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,907 |
1,900 |
$0.00 |