| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,384 |
1,249 |
$110K |
| V2020 |
Frames, purchases |
1,503 |
1,385 |
$35K |
| 92015 |
Determination of refractive state |
1,955 |
1,807 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
544 |
498 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
423 |
395 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
29 |
$3K |