| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,538 |
1,444 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
617 |
594 |
$13K |
| V2020 |
Frames, purchases |
908 |
881 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
602 |
589 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
299 |
293 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
188 |
187 |
$4K |
| 92015 |
Determination of refractive state |
990 |
838 |
$0.00 |