| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,083 |
2,661 |
$233K |
| V2020 |
Frames, purchases |
4,388 |
4,189 |
$117K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,625 |
4,408 |
$96K |
| 92060 |
|
2,075 |
1,796 |
$83K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
815 |
716 |
$76K |
| 92250 |
|
1,375 |
1,191 |
$68K |
| 92015 |
Determination of refractive state |
4,676 |
4,094 |
$56K |
| 92082 |
|
1,597 |
1,441 |
$50K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,476 |
3,396 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
468 |
425 |
$26K |
| V2025 |
Deluxe frame |
401 |
378 |
$5K |