| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
562 |
516 |
$44K |
| V2020 |
Frames, purchases |
1,350 |
1,243 |
$31K |
| 92250 |
|
454 |
417 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
754 |
689 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
148 |
143 |
$14K |
| 92082 |
|
447 |
409 |
$14K |
| 92015 |
Determination of refractive state |
1,015 |
927 |
$12K |
| 92286 |
|
600 |
554 |
$9K |
| 76514 |
|
286 |
266 |
$2K |