| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
592 |
522 |
$25K |
| V2020 |
Frames, purchases |
939 |
845 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
738 |
673 |
$10K |
| 92015 |
Determination of refractive state |
851 |
768 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
454 |
398 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
68 |
65 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
225 |
196 |
$1K |