| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,273 |
1,031 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
603 |
572 |
$58K |
| V2199 |
Not otherwise classified, single vision lens |
1,031 |
838 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
408 |
375 |
$47K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,167 |
949 |
$32K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
251 |
101 |
$23K |
| 92015 |
Determination of refractive state |
1,730 |
1,622 |
$19K |