| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,568 |
1,502 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
608 |
585 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,342 |
1,285 |
$41K |
| V2020 |
Frames, purchases |
1,497 |
1,430 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,361 |
1,303 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
182 |
180 |
$1K |
| V2760 |
Scratch resistant coating, per lens |
164 |
162 |
$326.16 |