| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,846 |
4,333 |
$130K |
| 92015 |
Determination of refractive state |
5,858 |
5,262 |
$72K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,439 |
1,280 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
668 |
588 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,072 |
719 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
866 |
750 |
$21K |
| 92002 |
|
165 |
155 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
96 |
$8K |