| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
2,319 |
1,864 |
$106K |
| 92015 |
Determination of refractive state |
3,560 |
2,927 |
$75K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
969 |
834 |
$40K |
| V2020 |
Frames, purchases |
629 |
582 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
86 |
84 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
304 |
269 |
$372.26 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
118 |
114 |
$124.00 |
| 3072F |
|
13 |
12 |
$0.00 |