| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,829 |
3,561 |
$254K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,999 |
1,888 |
$197K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,312 |
1,306 |
$115K |
| 92015 |
Determination of refractive state |
3,065 |
3,042 |
$41K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
590 |
326 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
615 |
332 |
$18K |
| V2020 |
Frames, purchases |
581 |
322 |
$7K |