| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
832 |
823 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
496 |
493 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
626 |
612 |
$42K |
| V2020 |
Frames, purchases |
280 |
266 |
$8K |
| 92015 |
Determination of refractive state |
1,337 |
1,311 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
155 |
148 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
265 |
252 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
226 |
220 |
$464.80 |