| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
545 |
518 |
$53K |
| V2020 |
Frames, purchases |
716 |
683 |
$52K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
194 |
192 |
$26K |
| 92015 |
Determination of refractive state |
866 |
789 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
187 |
185 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
205 |
202 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
40 |
$5K |
| V2760 |
Scratch resistant coating, per lens |
162 |
161 |
$3K |