| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
520 |
463 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
267 |
266 |
$11K |
| V2020 |
Frames, purchases |
572 |
516 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
71 |
71 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
31 |
$459.42 |