| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,135 |
1,948 |
$203K |
| V2020 |
Frames, purchases |
3,167 |
2,147 |
$115K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,250 |
2,199 |
$71K |
| V2755 |
U-v lens, per lens |
2,518 |
1,709 |
$67K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,614 |
1,136 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
413 |
373 |
$45K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
533 |
345 |
$42K |
| 92015 |
Determination of refractive state |
40 |
39 |
$145.36 |