| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,429 |
1,297 |
$116K |
| V2020 |
Frames, purchases |
1,062 |
945 |
$28K |
| 92015 |
Determination of refractive state |
2,053 |
1,860 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
301 |
262 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
75 |
67 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
26 |
$2K |