| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
865 |
845 |
$33K |
| V2020 |
Frames, purchases |
1,118 |
1,094 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
817 |
809 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
169 |
167 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
427 |
414 |
$5K |
| 92015 |
Determination of refractive state |
1,334 |
1,308 |
$0.00 |