| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
955 |
934 |
$65K |
| V2020 |
Frames, purchases |
1,264 |
1,116 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
778 |
749 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
735 |
542 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
92 |
91 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
479 |
421 |
$2K |
| V2755 |
U-v lens, per lens |
182 |
164 |
$1K |
| 92015 |
Determination of refractive state |
1,183 |
1,146 |
$143.48 |