| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
735 |
731 |
$47K |
| V2020 |
Frames, purchases |
1,010 |
999 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
217 |
214 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
578 |
576 |
$7K |
| 92015 |
Determination of refractive state |
1,366 |
1,353 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
38 |
37 |
$1K |