| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
801 |
776 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
835 |
822 |
$26K |
| V2020 |
Frames, purchases |
910 |
890 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
162 |
160 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
483 |
475 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
660 |
644 |
$8K |
| 92015 |
Determination of refractive state |
1,092 |
1,066 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
659 |
648 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
151 |
150 |
$3K |