| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
474 |
458 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
726 |
708 |
$28K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
712 |
695 |
$21K |
| V2020 |
Frames, purchases |
740 |
724 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
406 |
393 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
78 |
68 |
$5K |