| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,490 |
1,399 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
526 |
506 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
140 |
136 |
$3K |
| V2020 |
Frames, purchases |
135 |
130 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
80 |
80 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
33 |
33 |
$0.00 |