| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
864 |
805 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
592 |
558 |
$47K |
| 92015 |
Determination of refractive state |
1,733 |
1,628 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
875 |
820 |
$27K |
| V2020 |
Frames, purchases |
1,306 |
1,246 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
94 |
87 |
$3K |