| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
819 |
787 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
972 |
943 |
$18K |
| V2020 |
Frames, purchases |
1,178 |
1,146 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
364 |
348 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
531 |
506 |
$5K |
| 92015 |
Determination of refractive state |
1,561 |
1,511 |
$166.64 |