| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,499 |
1,387 |
$69K |
| V2020 |
Frames, purchases |
1,289 |
1,218 |
$52K |
| 92002 |
|
1,179 |
1,139 |
$44K |
| 92015 |
Determination of refractive state |
1,754 |
1,672 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
542 |
486 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
25 |
$2K |
| V2199 |
Not otherwise classified, single vision lens |
569 |
565 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
325 |
319 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
161 |
160 |
$0.00 |
| V2781 |
Progressive lens, per lens |
37 |
37 |
$0.00 |