| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,873 |
1,796 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,767 |
1,747 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,287 |
1,248 |
$31K |
| V2020 |
Frames, purchases |
1,581 |
1,536 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
223 |
221 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
795 |
770 |
$9K |
| 92341 |
|
201 |
198 |
$5K |