| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,478 |
1,398 |
$95K |
| V2020 |
Frames, purchases |
572 |
419 |
$19K |
| V2025 |
Deluxe frame |
191 |
131 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
702 |
504 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
485 |
341 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
115 |
90 |
$5K |
| 92015 |
Determination of refractive state |
1,236 |
1,190 |
$3K |