| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,842 |
1,666 |
$104K |
| V2020 |
Frames, purchases |
2,720 |
2,346 |
$91K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,127 |
975 |
$48K |
| 92015 |
Determination of refractive state |
3,437 |
3,031 |
$43K |
| 92002 |
|
106 |
97 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
157 |
147 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
31 |
26 |
$2K |