| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
575 |
552 |
$38K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,247 |
1,156 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,337 |
1,233 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
964 |
918 |
$18K |
| V2020 |
Frames, purchases |
1,320 |
1,216 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
168 |
157 |
$11K |