| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,073 |
1,050 |
$23K |
| V2020 |
Frames, purchases |
1,348 |
1,324 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
747 |
728 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
950 |
928 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
594 |
583 |
$6K |
| 92002 |
|
169 |
169 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
196 |
195 |
$3K |
| 92310 |
|
72 |
68 |
$1K |