| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
19,907 |
19,791 |
$426K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,048 |
9,022 |
$366K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,761 |
9,717 |
$366K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,279 |
16,192 |
$363K |
| 92015 |
Determination of refractive state |
18,763 |
18,679 |
$149K |
| 92341 |
|
2,054 |
2,051 |
$61K |
| 92250 |
|
823 |
817 |
$35K |
| 92225 |
|
412 |
299 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
316 |
316 |
$5K |
| 92201 |
|
90 |
90 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
176 |
176 |
$1K |