| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
347 |
331 |
$15K |
| V2020 |
Frames, purchases |
444 |
424 |
$12K |
| 92002 |
|
215 |
211 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
356 |
340 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
297 |
290 |
$10K |
| 92370 |
|
38 |
38 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$362.80 |