| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,065 |
1,995 |
$158K |
| V2020 |
Frames, purchases |
1,264 |
1,200 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
311 |
302 |
$38K |
| 92015 |
Determination of refractive state |
3,496 |
2,775 |
$29K |
| V2199 |
Not otherwise classified, single vision lens |
345 |
335 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41 |
39 |
$3K |