| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,266 |
1,922 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,993 |
1,749 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,251 |
1,939 |
$40K |
| V2020 |
Frames, purchases |
2,750 |
2,360 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,154 |
992 |
$9K |
| 92310 |
|
410 |
344 |
$9K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
149 |
121 |
$5K |
| V2500 |
Contact lens, pmma, spherical, per lens |
68 |
59 |
$1K |