| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,004 |
945 |
$39K |
| V2020 |
Frames, purchases |
1,342 |
1,117 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
894 |
688 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
405 |
382 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
752 |
602 |
$11K |
| 92310 |
|
44 |
37 |
$3K |
| 92100 |
|
44 |
44 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
18 |
13 |
$280.00 |