| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
956 |
933 |
$29K |
| V2020 |
Frames, purchases |
1,314 |
1,154 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
652 |
467 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
684 |
590 |
$8K |
| 92015 |
Determination of refractive state |
1,561 |
1,359 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,061 |
950 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
114 |
92 |
$2K |