| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,703 |
1,640 |
$144K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,145 |
5,786 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,210 |
1,166 |
$81K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,445 |
4,203 |
$56K |
| V2020 |
Frames, purchases |
4,450 |
4,208 |
$53K |
| 92015 |
Determination of refractive state |
3,512 |
3,395 |
$29K |
| V2755 |
U-v lens, per lens |
1,092 |
962 |
$4K |