| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,589 |
4,192 |
$163K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,196 |
1,093 |
$68K |
| 92015 |
Determination of refractive state |
4,015 |
3,709 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,272 |
786 |
$38K |
| 92002 |
|
216 |
200 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
92 |
61 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
24 |
$2K |