| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
791 |
755 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
569 |
534 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
391 |
359 |
$33K |
| V2020 |
Frames, purchases |
259 |
157 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
14 |
$195.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
13 |
$40.00 |