| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,073 |
1,978 |
$186K |
| V2020 |
Frames, purchases |
1,966 |
1,847 |
$118K |
| V2199 |
Not otherwise classified, single vision lens |
1,456 |
1,365 |
$94K |
| 92015 |
Determination of refractive state |
3,039 |
2,780 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
516 |
482 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
167 |
153 |
$19K |