| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,731 |
1,687 |
$89K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
729 |
718 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
507 |
491 |
$57K |
| V2020 |
Frames, purchases |
1,569 |
1,445 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
768 |
743 |
$22K |
| 92015 |
Determination of refractive state |
1,550 |
1,499 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
47 |
$2K |