| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,917 |
1,895 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
599 |
388 |
$35K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
235 |
187 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
229 |
229 |
$10K |
| V2025 |
Deluxe frame |
572 |
382 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
182 |
182 |
$8K |
| V2020 |
Frames, purchases |
86 |
83 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
79 |
79 |
$30.00 |
| V2781 |
Progressive lens, per lens |
12 |
12 |
$0.00 |