| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,264 |
2,920 |
$99K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
445 |
393 |
$23K |
| 92341 |
|
631 |
625 |
$19K |
| V2020 |
Frames, purchases |
627 |
582 |
$15K |
| 92015 |
Determination of refractive state |
727 |
654 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
247 |
222 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
459 |
409 |
$9K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
103 |
98 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
221 |
191 |
$1K |