| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
493 |
485 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
633 |
618 |
$22K |
| V2020 |
Frames, purchases |
565 |
547 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
617 |
610 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
80 |
78 |
$6K |
| V2025 |
Deluxe frame |
101 |
101 |
$3K |
| 92015 |
Determination of refractive state |
812 |
793 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
88 |
86 |
$2K |