| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,336 |
1,312 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,449 |
1,388 |
$43K |
| 92015 |
Determination of refractive state |
2,206 |
2,145 |
$25K |
| V2020 |
Frames, purchases |
1,901 |
1,800 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
313 |
299 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
451 |
428 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
384 |
371 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
155 |
142 |
$2K |