| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
862 |
789 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,952 |
1,800 |
$32K |
| 92015 |
Determination of refractive state |
1,359 |
1,238 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
116 |
104 |
$6K |
| V2020 |
Frames, purchases |
158 |
149 |
$2K |
| 92002 |
|
13 |
13 |
$814.86 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
40 |
40 |
$286.54 |
| 3072F |
|
13 |
13 |
$0.00 |