| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,484 |
4,216 |
$242K |
| V2020 |
Frames, purchases |
6,675 |
6,298 |
$217K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,618 |
3,239 |
$159K |
| 92002 |
|
2,614 |
2,476 |
$147K |
| 92015 |
Determination of refractive state |
8,598 |
8,150 |
$123K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,921 |
2,752 |
$102K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
840 |
785 |
$29K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
199 |
187 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$535.40 |