| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,787 |
8,349 |
$287K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,705 |
3,819 |
$202K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,659 |
3,051 |
$160K |
| 92015 |
Determination of refractive state |
8,434 |
6,910 |
$148K |
| V2020 |
Frames, purchases |
455 |
422 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
552 |
491 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
329 |
303 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
98 |
98 |
$3K |