| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,405 |
2,353 |
$111K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
979 |
975 |
$66K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
937 |
929 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
219 |
217 |
$21K |
| 92015 |
Determination of refractive state |
2,817 |
2,780 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
89 |
88 |
$7K |