| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
501 |
438 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
81 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
46 |
43 |
$800.47 |
| V2020 |
Frames, purchases |
41 |
40 |
$800.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
32 |
31 |
$270.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
31 |
30 |
$120.00 |
| V2760 |
Scratch resistant coating, per lens |
12 |
12 |
$0.00 |