| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,439 |
1,322 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
369 |
339 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
260 |
253 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
720 |
657 |
$21K |
| V2020 |
Frames, purchases |
852 |
781 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
103 |
91 |
$2K |
| 92015 |
Determination of refractive state |
55 |
55 |
$768.42 |