| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
484 |
465 |
$16K |
| 92015 |
Determination of refractive state |
761 |
736 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
312 |
298 |
$5K |
| V2020 |
Frames, purchases |
367 |
358 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
131 |
131 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
143 |
136 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$52.00 |