| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
822 |
771 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
944 |
858 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
324 |
295 |
$28K |
| V2020 |
Frames, purchases |
1,079 |
975 |
$18K |
| 92015 |
Determination of refractive state |
1,281 |
1,185 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
921 |
843 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
432 |
388 |
$8K |