| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,626 |
3,549 |
$289K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,700 |
2,631 |
$238K |
| 92341 |
|
5,667 |
5,598 |
$151K |
| 92015 |
Determination of refractive state |
7,596 |
7,434 |
$85K |
| V2020 |
Frames, purchases |
910 |
882 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
758 |
738 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
85 |
84 |
$5K |