| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
501 |
489 |
$35K |
| V2020 |
Frames, purchases |
835 |
772 |
$27K |
| 92015 |
Determination of refractive state |
822 |
774 |
$17K |
| 92002 |
|
103 |
102 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
562 |
522 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
204 |
197 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
143 |
136 |
$4K |