| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,151 |
1,146 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,012 |
1,003 |
$30K |
| 92015 |
Determination of refractive state |
1,084 |
1,076 |
$19K |
| V2020 |
Frames, purchases |
1,084 |
1,076 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
294 |
292 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
125 |
125 |
$3K |
| V2715 |
Prism, per lens |
53 |
53 |
$528.41 |
| 92370 |
|
17 |
17 |
$465.29 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
914 |
907 |
$0.00 |