| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,433 |
2,400 |
$89K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,690 |
2,637 |
$54K |
| V2020 |
Frames, purchases |
2,938 |
2,880 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,947 |
2,858 |
$40K |
| 92015 |
Determination of refractive state |
3,215 |
3,155 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,733 |
2,679 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
785 |
758 |
$21K |