| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
619 |
585 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
592 |
585 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
519 |
512 |
$20K |
| 92015 |
Determination of refractive state |
1,204 |
1,169 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
450 |
435 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
517 |
496 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
155 |
148 |
$2K |