| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
14,570 |
11,090 |
$517K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
9,642 |
7,228 |
$472K |
| 92002 |
|
6,754 |
5,189 |
$306K |
| 92015 |
Determination of refractive state |
13,919 |
10,581 |
$255K |
| 92201 |
|
3,884 |
2,916 |
$128K |
| V2020 |
Frames, purchases |
1,446 |
1,141 |
$127K |
| 92225 |
|
4,146 |
1,647 |
$50K |
| 92202 |
|
1,675 |
1,267 |
$43K |
| 92226 |
|
1,594 |
624 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
358 |
280 |
$0.05 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
75 |
71 |
$0.00 |