| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
324 |
320 |
$21K |
| V2020 |
Frames, purchases |
418 |
417 |
$15K |
| 92015 |
Determination of refractive state |
499 |
492 |
$11K |
| 92002 |
|
83 |
81 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
279 |
274 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
59 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$94.12 |