| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,031 |
994 |
$104K |
| V2020 |
Frames, purchases |
1,455 |
1,309 |
$86K |
| V2199 |
Not otherwise classified, single vision lens |
1,304 |
1,174 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
459 |
449 |
$58K |
| 92015 |
Determination of refractive state |
2,358 |
2,249 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
28 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
44 |
44 |
$1K |