| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,853 |
1,823 |
$76K |
| V2020 |
Frames, purchases |
894 |
883 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
657 |
652 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
463 |
442 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
158 |
156 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
586 |
584 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$452.40 |
| 92015 |
Determination of refractive state |
1,278 |
1,265 |
$429.07 |