| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
345 |
320 |
$28K |
| V2020 |
Frames, purchases |
228 |
215 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
194 |
189 |
$9K |
| 92015 |
Determination of refractive state |
577 |
532 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
60 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
68 |
67 |
$3K |