| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,446 |
1,429 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
796 |
794 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
685 |
683 |
$30K |
| 92015 |
Determination of refractive state |
1,576 |
1,573 |
$25K |
| V2020 |
Frames, purchases |
706 |
697 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
419 |
415 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
196 |
189 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
33 |
12 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
92 |
91 |
$1K |