| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,478 |
2,439 |
$92K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,016 |
1,986 |
$75K |
| 92310 |
|
1,141 |
1,111 |
$53K |
| V2523 |
Contact lens, hydrophilic, extended wear, per lens |
532 |
528 |
$15K |
| 92015 |
Determination of refractive state |
4,505 |
4,437 |
$3K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
24 |
24 |
$492.00 |