| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
826 |
808 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
352 |
341 |
$33K |
| V2020 |
Frames, purchases |
271 |
242 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
299 |
267 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
206 |
186 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
44 |
41 |
$2K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
20 |
19 |
$2K |