| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
900 |
874 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
572 |
504 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
169 |
167 |
$9K |
| 92015 |
Determination of refractive state |
1,582 |
1,398 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
41 |
$2K |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
21 |
13 |
$0.00 |