| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
715 |
698 |
$69K |
| V2020 |
Frames, purchases |
577 |
562 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
541 |
527 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
447 |
434 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
71 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
109 |
106 |
$4K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
24 |
24 |
$4K |
| 92015 |
Determination of refractive state |
2,092 |
2,022 |
$365.36 |