| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,155 |
1,087 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
834 |
785 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
625 |
587 |
$53K |
| V2020 |
Frames, purchases |
432 |
396 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
366 |
341 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
167 |
162 |
$1K |
| V2760 |
Scratch resistant coating, per lens |
167 |
162 |
$304.00 |