| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
820 |
758 |
$57K |
| V2020 |
Frames, purchases |
1,446 |
1,297 |
$54K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
628 |
493 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,181 |
1,074 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
202 |
189 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
962 |
877 |
$17K |
| 92002 |
|
206 |
182 |
$12K |
| 92015 |
Determination of refractive state |
672 |
639 |
$3K |