| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,571 |
1,473 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,737 |
1,666 |
$29K |
| V2020 |
Frames, purchases |
1,897 |
1,819 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,566 |
1,505 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
503 |
445 |
$9K |
| V2750 |
Anti-reflective coating, per lens |
454 |
420 |
$0.00 |
| 92015 |
Determination of refractive state |
573 |
489 |
$0.00 |