| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
927 |
886 |
$90K |
| V2020 |
Frames, purchases |
954 |
776 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
881 |
719 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
730 |
588 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
61 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
228 |
151 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
24 |
$1K |
| 92015 |
Determination of refractive state |
137 |
134 |
$46.14 |