| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,124 |
4,063 |
$149K |
| V2020 |
Frames, purchases |
6,831 |
6,756 |
$132K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,646 |
3,622 |
$132K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,283 |
6,194 |
$124K |
| 92015 |
Determination of refractive state |
8,012 |
7,924 |
$58K |
| 92341 |
|
111 |
111 |
$3K |
| V2750 |
Anti-reflective coating, per lens |
63 |
61 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
103 |
99 |
$803.88 |