| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
498 |
482 |
$33K |
| V2020 |
Frames, purchases |
807 |
765 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
652 |
630 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
92 |
91 |
$3K |
| 92015 |
Determination of refractive state |
132 |
116 |
$515.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$467.76 |