| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
567 |
539 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
401 |
389 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
98 |
$6K |
| V2020 |
Frames, purchases |
523 |
509 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
60 |
58 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
72 |
67 |
$1K |