| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,549 |
1,528 |
$124K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
970 |
953 |
$94K |
| V2020 |
Frames, purchases |
1,295 |
1,272 |
$85K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
506 |
395 |
$14K |
| 92015 |
Determination of refractive state |
3,696 |
3,627 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
103 |
73 |
$2K |