| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,432 |
1,365 |
$61K |
| V2020 |
Frames, purchases |
908 |
872 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
488 |
457 |
$10K |
| 92015 |
Determination of refractive state |
651 |
615 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
774 |
740 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
306 |
296 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
585 |
562 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
30 |
30 |
$0.00 |