| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,473 |
1,464 |
$69K |
| V2020 |
Frames, purchases |
1,444 |
1,415 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
918 |
907 |
$22K |
| 92002 |
|
290 |
283 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
206 |
200 |
$5K |
| 92250 |
|
44 |
43 |
$2K |
| V2756 |
Eye glass case |
673 |
657 |
$699.84 |
| 92081 |
|
14 |
14 |
$51.65 |
| 92015 |
Determination of refractive state |
598 |
595 |
$0.00 |