| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,916 |
1,828 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,408 |
1,376 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
536 |
524 |
$24K |
| 92015 |
Determination of refractive state |
892 |
872 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
233 |
227 |
$6K |
| V2020 |
Frames, purchases |
307 |
301 |
$6K |
| 92341 |
|
160 |
155 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
19 |
15 |
$277.00 |