| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,289 |
16,192 |
$1.06M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,191 |
11,165 |
$1.02M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,383 |
2,375 |
$258K |
| 92015 |
Determination of refractive state |
14,754 |
14,715 |
$209K |
| V2020 |
Frames, purchases |
1,315 |
1,313 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,274 |
1,272 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,205 |
1,201 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
74 |
70 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$300.84 |