| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,012 |
1,004 |
$43K |
| V2020 |
Frames, purchases |
1,194 |
1,184 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
911 |
902 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
515 |
515 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
406 |
399 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
86 |
86 |
$3K |
| 92015 |
Determination of refractive state |
957 |
953 |
$0.00 |