| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
904 |
895 |
$57K |
| V2020 |
Frames, purchases |
1,272 |
1,235 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
185 |
180 |
$18K |
| 92015 |
Determination of refractive state |
2,386 |
2,319 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
184 |
152 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
135 |
115 |
$4K |