| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,058 |
1,948 |
$83K |
| 92015 |
Determination of refractive state |
4,701 |
4,189 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,000 |
900 |
$52K |
| V2020 |
Frames, purchases |
1,374 |
1,284 |
$37K |
| 92002 |
|
851 |
811 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
396 |
365 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
395 |
381 |
$14K |
| 92250 |
|
271 |
203 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
602 |
385 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
343 |
206 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
213 |
194 |
$2K |
| V2756 |
Eye glass case |
1,293 |
1,211 |
$1K |