| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
382 |
270 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
260 |
173 |
$8K |
| 92015 |
Determination of refractive state |
871 |
652 |
$4K |
| V2020 |
Frames, purchases |
557 |
394 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
388 |
282 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
271 |
183 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
382 |
248 |
$808.03 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
151 |
97 |
$441.07 |
| V2760 |
Scratch resistant coating, per lens |
223 |
146 |
$418.41 |