| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
547 |
522 |
$50K |
| 92015 |
Determination of refractive state |
1,150 |
1,103 |
$20K |
| V2020 |
Frames, purchases |
186 |
173 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
104 |
99 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
183 |
165 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
90 |
82 |
$4K |