| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,042 |
1,003 |
$67K |
| V2020 |
Frames, purchases |
1,921 |
1,835 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
612 |
582 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,581 |
1,451 |
$46K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,173 |
1,115 |
$38K |
| 92015 |
Determination of refractive state |
1,677 |
1,602 |
$8K |
| 92202 |
|
14 |
14 |
$165.82 |