| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,601 |
3,515 |
$330K |
| V2199 |
Not otherwise classified, single vision lens |
3,723 |
3,554 |
$244K |
| V2020 |
Frames, purchases |
3,879 |
3,712 |
$238K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,031 |
1,957 |
$233K |
| 92015 |
Determination of refractive state |
5,839 |
5,504 |
$60K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
763 |
725 |
$44K |
| V2299 |
Specialty bifocal (by report) |
13 |
12 |
$1K |