| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,049 |
1,027 |
$59K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
510 |
448 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
609 |
277 |
$23K |
| V2020 |
Frames, purchases |
548 |
485 |
$17K |
| 92015 |
Determination of refractive state |
1,870 |
1,792 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
303 |
268 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
315 |
287 |
$7K |