| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,341 |
1,225 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,295 |
1,248 |
$21K |
| V2020 |
Frames, purchases |
1,317 |
1,272 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
633 |
590 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,127 |
1,079 |
$9K |
| 92015 |
Determination of refractive state |
630 |
583 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
353 |
323 |
$0.00 |