| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,465 |
3,288 |
$199K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,956 |
1,872 |
$153K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,094 |
1,018 |
$103K |
| 92015 |
Determination of refractive state |
3,324 |
3,156 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
887 |
794 |
$8K |
| V2020 |
Frames, purchases |
786 |
699 |
$6K |
| V2025 |
Deluxe frame |
115 |
113 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
480 |
390 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17 |
12 |
$150.24 |
| 99072 |
|
581 |
509 |
$0.00 |