| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,039 |
1,986 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
613 |
598 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
249 |
239 |
$22K |
| V2020 |
Frames, purchases |
641 |
541 |
$11K |
| 92341 |
|
121 |
120 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
279 |
270 |
$5K |
| 92015 |
Determination of refractive state |
379 |
364 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
323 |
306 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
253 |
243 |
$469.01 |