| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,414 |
2,088 |
$117K |
| 92015 |
Determination of refractive state |
5,147 |
4,526 |
$106K |
| 92250 |
|
3,170 |
1,783 |
$73K |
| V2020 |
Frames, purchases |
1,637 |
1,513 |
$70K |
| 92002 |
|
2,510 |
2,250 |
$65K |
| 92100 |
|
1,536 |
1,448 |
$46K |
| 92225 |
|
632 |
293 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
678 |
536 |
$2K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
25 |
24 |
$0.00 |
| 92201 |
|
44 |
22 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
263 |
254 |
$0.00 |