| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
831 |
792 |
$72K |
| V2020 |
Frames, purchases |
637 |
593 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
362 |
354 |
$37K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
660 |
615 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
391 |
369 |
$19K |
| 92015 |
Determination of refractive state |
1,002 |
952 |
$17K |