| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,680 |
1,486 |
$99K |
| V2020 |
Frames, purchases |
1,280 |
1,134 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
205 |
189 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
329 |
290 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
116 |
115 |
$3K |
| 92015 |
Determination of refractive state |
81 |
81 |
$0.00 |