| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
350 |
333 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
405 |
379 |
$37K |
| V2020 |
Frames, purchases |
1,024 |
838 |
$36K |
| V2750 |
Anti-reflective coating, per lens |
891 |
738 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
975 |
805 |
$18K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
126 |
95 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
355 |
299 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
840 |
703 |
$14K |