| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,039 |
1,021 |
$66K |
| V2020 |
Frames, purchases |
990 |
979 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
817 |
808 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
202 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
543 |
536 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
394 |
390 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
411 |
408 |
$818.00 |
| 99199 |
Unlisted special service, procedure or report |
16 |
14 |
$0.00 |