| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,649 |
1,513 |
$139K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,034 |
965 |
$111K |
| V2020 |
Frames, purchases |
2,134 |
1,962 |
$71K |
| 92015 |
Determination of refractive state |
3,187 |
2,979 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
677 |
416 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
551 |
329 |
$15K |