| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
531 |
501 |
$36K |
| V2020 |
Frames, purchases |
690 |
599 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
643 |
558 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
640 |
560 |
$15K |
| 92015 |
Determination of refractive state |
727 |
634 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
25 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
31 |
30 |
$518.95 |