| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,242 |
1,605 |
$7K |
| V2020 |
Frames, purchases |
2,950 |
2,052 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,536 |
1,752 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,767 |
1,195 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,406 |
1,031 |
$1K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
26 |
24 |
$0.00 |
| V2500 |
Contact lens, pmma, spherical, per lens |
39 |
31 |
$0.00 |
| 92310 |
|
96 |
80 |
$0.00 |