| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,115 |
1,113 |
$45K |
| V2020 |
Frames, purchases |
1,429 |
1,410 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,283 |
1,264 |
$26K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
243 |
243 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
134 |
133 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
834 |
819 |
$5K |
| V2025 |
Deluxe frame |
40 |
40 |
$0.00 |