| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,710 |
1,691 |
$145K |
| 92065 |
|
3,185 |
1,194 |
$126K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
760 |
757 |
$62K |
| V2020 |
Frames, purchases |
746 |
742 |
$54K |
| 92015 |
Determination of refractive state |
1,965 |
1,956 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
148 |
147 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$2K |