| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,053 |
1,038 |
$69K |
| V2020 |
Frames, purchases |
927 |
905 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
145 |
142 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
263 |
254 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
73 |
69 |
$2K |