| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,807 |
1,759 |
$165K |
| V2020 |
Frames, purchases |
1,405 |
1,311 |
$83K |
| V2199 |
Not otherwise classified, single vision lens |
1,263 |
1,152 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
452 |
439 |
$54K |
| 92015 |
Determination of refractive state |
2,741 |
2,549 |
$28K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
633 |
588 |
$22K |