| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,539 |
1,480 |
$47K |
| V2020 |
Frames, purchases |
1,526 |
1,521 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
701 |
676 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,351 |
1,346 |
$14K |
| 92015 |
Determination of refractive state |
2,632 |
2,553 |
$9K |
| 92250 |
|
83 |
83 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
54 |
54 |
$2K |