| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,925 |
1,682 |
$5K |
| V2020 |
Frames, purchases |
181 |
172 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
153 |
152 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
54 |
27 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
48 |
48 |
$810.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$0.00 |