| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,426 |
3,001 |
$322K |
| V2199 |
Not otherwise classified, single vision lens |
4,527 |
3,618 |
$268K |
| V2020 |
Frames, purchases |
4,926 |
3,983 |
$268K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,695 |
2,804 |
$185K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,440 |
1,309 |
$169K |
| 92015 |
Determination of refractive state |
5,320 |
4,591 |
$56K |
| V2399 |
Specialty trifocal (by report) |
94 |
89 |
$13K |
| 92370 |
|
270 |
251 |
$6K |
| 92250 |
|
14 |
13 |
$743.35 |