| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
878 |
858 |
$28K |
| V2020 |
Frames, purchases |
919 |
889 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
386 |
380 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
262 |
245 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
838 |
806 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
575 |
548 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
571 |
546 |
$1K |