| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,629 |
1,537 |
$97K |
| V2020 |
Frames, purchases |
1,734 |
1,686 |
$76K |
| 92002 |
|
1,137 |
1,087 |
$66K |
| 92015 |
Determination of refractive state |
3,599 |
3,413 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
713 |
692 |
$32K |
| V2755 |
U-v lens, per lens |
1,745 |
1,688 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
252 |
248 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
243 |
232 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
66 |
59 |
$3K |