| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
970 |
949 |
$95K |
| V2020 |
Frames, purchases |
970 |
948 |
$68K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
948 |
933 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
499 |
484 |
$30K |
| 92015 |
Determination of refractive state |
1,303 |
1,278 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
132 |
132 |
$16K |