| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
478 |
353 |
$17K |
| V2020 |
Frames, purchases |
580 |
444 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
334 |
259 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
141 |
114 |
$6K |
| 92015 |
Determination of refractive state |
880 |
672 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
198 |
153 |
$2K |