| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,394 |
2,265 |
$150K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,351 |
1,307 |
$118K |
| V2020 |
Frames, purchases |
3,366 |
3,260 |
$85K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,616 |
2,533 |
$67K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,804 |
2,714 |
$54K |
| 92015 |
Determination of refractive state |
4,845 |
4,558 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,919 |
1,847 |
$13K |
| V2760 |
Scratch resistant coating, per lens |
1,854 |
1,767 |
$5K |