| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,847 |
1,710 |
$148K |
| 92015 |
Determination of refractive state |
2,132 |
1,989 |
$27K |
| V2020 |
Frames, purchases |
949 |
916 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
199 |
194 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$744.76 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
12 |
$709.70 |