| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,819 |
1,785 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,137 |
1,107 |
$104K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,509 |
1,456 |
$48K |
| V2020 |
Frames, purchases |
2,683 |
2,585 |
$45K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
415 |
392 |
$7K |
| 92015 |
Determination of refractive state |
170 |
168 |
$3K |