| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,741 |
1,680 |
$102K |
| V2020 |
Frames, purchases |
1,378 |
1,297 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
286 |
272 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
250 |
244 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
253 |
225 |
$5K |
| 92370 |
|
66 |
61 |
$885.00 |
| V2756 |
Eye glass case |
680 |
633 |
$664.04 |