| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,241 |
2,237 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
445 |
445 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
382 |
380 |
$14K |
| V2020 |
Frames, purchases |
582 |
580 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
236 |
236 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
88 |
88 |
$5K |