| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,336 |
1,244 |
$64K |
| V2020 |
Frames, purchases |
1,461 |
1,424 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
667 |
603 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
940 |
793 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
773 |
678 |
$19K |
| 92015 |
Determination of refractive state |
2,403 |
2,229 |
$12K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
58 |
27 |
$1K |