| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,297 |
1,232 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,253 |
1,196 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,398 |
1,325 |
$20K |
| V2020 |
Frames, purchases |
1,633 |
1,546 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
680 |
658 |
$4K |
| 92310 |
|
261 |
254 |
$4K |
| V2500 |
Contact lens, pmma, spherical, per lens |
88 |
86 |
$1K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
40 |
37 |
$816.00 |