| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
432 |
425 |
$31K |
| 92015 |
Determination of refractive state |
1,310 |
1,259 |
$28K |
| V2020 |
Frames, purchases |
564 |
536 |
$18K |
| 92002 |
|
178 |
167 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
276 |
205 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
59 |
50 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
27 |
$1K |