| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,200 |
1,173 |
$102K |
| V2020 |
Frames, purchases |
1,242 |
1,226 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
285 |
272 |
$27K |
| 92015 |
Determination of refractive state |
850 |
843 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
499 |
492 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
292 |
292 |
$11K |