| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
516 |
495 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
477 |
464 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
244 |
242 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
415 |
413 |
$9K |
| 92015 |
Determination of refractive state |
741 |
718 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
470 |
451 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
492 |
473 |
$6K |