| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,226 |
5,088 |
$338K |
| V2020 |
Frames, purchases |
3,481 |
3,307 |
$99K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,790 |
2,733 |
$87K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,524 |
1,473 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,495 |
1,444 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,585 |
1,506 |
$12K |
| V2760 |
Scratch resistant coating, per lens |
1,459 |
1,429 |
$3K |
| 99199 |
Unlisted special service, procedure or report |
14 |
13 |
$0.00 |