| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,333 |
1,241 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,293 |
1,149 |
$75K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
834 |
766 |
$70K |
| V2020 |
Frames, purchases |
26 |
25 |
$731.44 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27 |
26 |
$116.50 |
| V2760 |
Scratch resistant coating, per lens |
25 |
24 |
$20.00 |
| V2755 |
U-v lens, per lens |
25 |
24 |
$0.00 |