| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,040 |
995 |
$84K |
| V2020 |
Frames, purchases |
1,566 |
1,502 |
$61K |
| 92015 |
Determination of refractive state |
2,449 |
2,340 |
$36K |
| V2755 |
U-v lens, per lens |
1,029 |
951 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
198 |
195 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
336 |
295 |
$17K |
| 92250 |
|
397 |
377 |
$14K |
| 92082 |
|
70 |
70 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
25 |
$2K |