| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,243 |
1,181 |
$82K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,922 |
1,827 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,057 |
1,959 |
$55K |
| V2020 |
Frames, purchases |
2,086 |
1,981 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,031 |
976 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
123 |
123 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
82 |
$1K |