| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
339 |
333 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
491 |
473 |
$25K |
| V2020 |
Frames, purchases |
543 |
524 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
413 |
393 |
$10K |
| 92015 |
Determination of refractive state |
751 |
724 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
123 |
110 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
166 |
159 |
$8K |