| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,763 |
13,763 |
$1.34M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,939 |
16,897 |
$508K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17,568 |
17,513 |
$486K |
| 92015 |
Determination of refractive state |
15,357 |
15,339 |
$273K |
| V2020 |
Frames, purchases |
15,940 |
15,902 |
$159K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,567 |
1,567 |
$153K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
17,417 |
17,363 |
$0.00 |