| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
234 |
233 |
$12K |
| V2020 |
Frames, purchases |
340 |
336 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
333 |
331 |
$4K |
| 92015 |
Determination of refractive state |
539 |
538 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
47 |
47 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
274 |
273 |
$2K |