| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,215 |
1,196 |
$48K |
| V2020 |
Frames, purchases |
1,487 |
1,465 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
456 |
456 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
489 |
482 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
461 |
455 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
718 |
706 |
$8K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
13 |
13 |
$0.00 |