| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
863 |
798 |
$53K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
567 |
506 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
399 |
346 |
$31K |
| 92015 |
Determination of refractive state |
1,284 |
1,153 |
$2K |
| V2020 |
Frames, purchases |
624 |
555 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
350 |
218 |
$266.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
457 |
402 |
$236.50 |