| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
894 |
755 |
$40K |
| 92015 |
Determination of refractive state |
2,476 |
2,220 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
363 |
362 |
$29K |
| V2020 |
Frames, purchases |
580 |
502 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
538 |
461 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
168 |
160 |
$11K |
| 92002 |
|
257 |
209 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
512 |
456 |
$10K |