| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,979 |
2,912 |
$183K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,198 |
2,141 |
$145K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,294 |
1,264 |
$117K |
| V2020 |
Frames, purchases |
405 |
401 |
$10K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
340 |
339 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
287 |
285 |
$6K |
| 92370 |
|
157 |
156 |
$4K |
| V2755 |
U-v lens, per lens |
341 |
340 |
$4K |
| 92015 |
Determination of refractive state |
2,955 |
2,873 |
$1K |
| 92341 |
|
12 |
12 |
$808.00 |
| V2760 |
Scratch resistant coating, per lens |
342 |
340 |
$666.00 |
| 1036F |
|
854 |
807 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
197 |
192 |
$0.00 |