| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
921 |
907 |
$91K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,013 |
996 |
$83K |
| V2020 |
Frames, purchases |
990 |
975 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,017 |
999 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
547 |
540 |
$32K |
| 92015 |
Determination of refractive state |
1,337 |
1,316 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
197 |
191 |
$23K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
25 |
25 |
$2K |