| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,469 |
1,380 |
$51K |
| 92015 |
Determination of refractive state |
2,434 |
2,350 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,512 |
1,416 |
$32K |
| 92002 |
|
322 |
310 |
$13K |
| V2020 |
Frames, purchases |
1,452 |
1,378 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
656 |
550 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
93 |
86 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
268 |
201 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
129 |
96 |
$809.16 |