| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,163 |
2,033 |
$137K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
673 |
641 |
$59K |
| V2020 |
Frames, purchases |
1,811 |
1,732 |
$58K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,464 |
1,406 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,554 |
1,659 |
$34K |
| 92250 |
|
397 |
376 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,164 |
1,102 |
$8K |
| 92015 |
Determination of refractive state |
3,127 |
2,976 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
1,090 |
1,052 |
$2K |