| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
502 |
497 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
221 |
210 |
$25K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
443 |
438 |
$22K |
| V2020 |
Frames, purchases |
908 |
894 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
838 |
813 |
$21K |
| 92015 |
Determination of refractive state |
1,253 |
1,230 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
841 |
827 |
$15K |