| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,943 |
1,300 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
891 |
642 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,123 |
731 |
$13K |
| 92015 |
Determination of refractive state |
395 |
338 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
334 |
112 |
$3K |
| V2020 |
Frames, purchases |
124 |
99 |
$1K |
| 92341 |
|
44 |
41 |
$808.99 |
| 92202 |
|
520 |
383 |
$769.47 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
48 |
38 |
$405.58 |
| 92002 |
|
69 |
53 |
$198.73 |
| 92250 |
|
44 |
31 |
$167.65 |
| 92225 |
|
54 |
17 |
$78.26 |