| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,100 |
1,052 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
354 |
327 |
$11K |
| V2020 |
Frames, purchases |
280 |
274 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
333 |
328 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
118 |
67 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
15 |
$464.61 |