| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
234 |
223 |
$22K |
| V2020 |
Frames, purchases |
269 |
257 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
336 |
320 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
333 |
319 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
89 |
88 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
145 |
141 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
43 |
$2K |