| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,608 |
4,413 |
$207K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,151 |
3,945 |
$203K |
| 92015 |
Determination of refractive state |
5,913 |
5,690 |
$168K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,006 |
1,926 |
$115K |
| S0512 |
Daily wear specialty contact lens, per lens |
41 |
40 |
$10K |
| V2020 |
Frames, purchases |
331 |
328 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
91 |
91 |
$2K |
| S0592 |
Comprehensive contact lens evaluation |
42 |
41 |
$2K |
| 92250 |
|
46 |
44 |
$1K |
| 92083 |
|
32 |
30 |
$882.62 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
350 |
348 |
$384.00 |