| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
608 |
598 |
$43K |
| V2020 |
Frames, purchases |
932 |
900 |
$32K |
| 92015 |
Determination of refractive state |
1,168 |
1,123 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
713 |
690 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
250 |
145 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
71 |
38 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38 |
24 |
$1K |
| 92002 |
|
12 |
12 |
$841.20 |