| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,492 |
2,340 |
$79K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,076 |
999 |
$75K |
| V2020 |
Frames, purchases |
2,279 |
2,144 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,269 |
1,164 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
184 |
181 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,143 |
976 |
$12K |
| 92015 |
Determination of refractive state |
85 |
82 |
$1K |