| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,694 |
4,669 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
945 |
943 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
652 |
650 |
$66K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,682 |
2,662 |
$38K |
| V2020 |
Frames, purchases |
2,812 |
2,791 |
$29K |
| 92015 |
Determination of refractive state |
1,766 |
1,760 |
$25K |
| V2760 |
Scratch resistant coating, per lens |
2,141 |
2,123 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,836 |
2,814 |
$12K |
| 2026F |
|
42 |
42 |
$0.00 |