| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,829 |
2,498 |
$198K |
| V2020 |
Frames, purchases |
3,427 |
3,039 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
903 |
835 |
$83K |
| V2755 |
U-v lens, per lens |
2,896 |
2,663 |
$61K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,402 |
1,254 |
$61K |
| 92015 |
Determination of refractive state |
4,549 |
3,937 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
460 |
431 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
88 |
76 |
$3K |