| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,304 |
1,293 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,653 |
1,640 |
$28K |
| 92015 |
Determination of refractive state |
2,140 |
2,121 |
$24K |
| 92002 |
|
122 |
121 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
53 |
53 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
86 |
65 |
$3K |
| V2020 |
Frames, purchases |
65 |
63 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$718.95 |