| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,278 |
2,185 |
$63K |
| V2020 |
Frames, purchases |
3,567 |
3,471 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,680 |
3,560 |
$51K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,839 |
1,762 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
445 |
443 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
333 |
326 |
$13K |
| 92015 |
Determination of refractive state |
64 |
64 |
$315.00 |
| 92250 |
|
14 |
14 |
$0.00 |