| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,323 |
1,209 |
$83K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,939 |
2,821 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
471 |
426 |
$32K |
| V2020 |
Frames, purchases |
587 |
580 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
234 |
211 |
$17K |
| 92002 |
|
88 |
82 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
81 |
81 |
$3K |
| 92015 |
Determination of refractive state |
180 |
173 |
$3K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
99 |
99 |
$810.00 |
| 3072F |
|
418 |
406 |
$0.00 |
| 2023F |
|
247 |
234 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
238 |
234 |
$0.00 |