| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
526 |
477 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
396 |
339 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
405 |
402 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
378 |
330 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
96 |
80 |
$3K |
| 92015 |
Determination of refractive state |
94 |
94 |
$537.50 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$419.23 |