| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
513 |
495 |
$35K |
| V2020 |
Frames, purchases |
780 |
748 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
335 |
330 |
$24K |
| 92015 |
Determination of refractive state |
1,181 |
1,149 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
181 |
177 |
$15K |
| 92002 |
|
209 |
208 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
205 |
198 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
390 |
372 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
142 |
141 |
$4K |