| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,565 |
1,551 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
859 |
847 |
$28K |
| V2020 |
Frames, purchases |
581 |
576 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
408 |
403 |
$9K |
| 92015 |
Determination of refractive state |
658 |
652 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
82 |
$819.00 |