| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,936 |
1,909 |
$80K |
| V2025 |
Deluxe frame |
532 |
532 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,558 |
1,544 |
$24K |
| V2020 |
Frames, purchases |
942 |
927 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
554 |
543 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
97 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
491 |
488 |
$1K |
| 92015 |
Determination of refractive state |
32 |
30 |
$552.68 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
400 |
396 |
$248.50 |