| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
371 |
347 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
303 |
277 |
$19K |
| V2020 |
Frames, purchases |
680 |
619 |
$19K |
| 92015 |
Determination of refractive state |
1,437 |
1,377 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
199 |
195 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
712 |
674 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
536 |
499 |
$16K |