| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,617 |
1,520 |
$62K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
811 |
780 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
327 |
304 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
734 |
658 |
$22K |
| V2020 |
Frames, purchases |
806 |
724 |
$10K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
109 |
102 |
$2K |
| 92015 |
Determination of refractive state |
143 |
143 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
79 |
$1K |