| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,613 |
1,598 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,636 |
2,614 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
607 |
601 |
$35K |
| 92015 |
Determination of refractive state |
2,642 |
2,616 |
$29K |
| V2020 |
Frames, purchases |
1,845 |
1,844 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,237 |
1,237 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
468 |
467 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,799 |
1,798 |
$5K |
| V2760 |
Scratch resistant coating, per lens |
443 |
442 |
$4K |