| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,294 |
2,129 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,309 |
1,178 |
$89K |
| 92015 |
Determination of refractive state |
2,548 |
2,356 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,030 |
966 |
$61K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
232 |
231 |
$6K |
| V2020 |
Frames, purchases |
310 |
307 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
56 |
56 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
326 |
324 |
$0.00 |