| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,811 |
1,708 |
$76K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
938 |
892 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
537 |
521 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
293 |
281 |
$25K |
| 92015 |
Determination of refractive state |
1,938 |
1,853 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
48 |
42 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
31 |
$2K |