| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,348 |
1,223 |
$88K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
609 |
598 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
120 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
379 |
373 |
$11K |
| V2020 |
Frames, purchases |
441 |
433 |
$5K |
| 92015 |
Determination of refractive state |
417 |
360 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
72 |
69 |
$1K |