| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,513 |
1,442 |
$112K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,978 |
1,468 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,074 |
1,413 |
$78K |
| V2020 |
Frames, purchases |
2,000 |
1,780 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,669 |
1,609 |
$35K |
| 92015 |
Determination of refractive state |
2,043 |
1,956 |
$24K |
| 92341 |
|
25 |
25 |
$626.06 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
55 |
43 |
$574.45 |