| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,056 |
1,041 |
$40K |
| V2020 |
Frames, purchases |
1,015 |
998 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
844 |
832 |
$14K |
| 92015 |
Determination of refractive state |
1,314 |
1,293 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
539 |
532 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
97 |
$4K |