| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,508 |
3,309 |
$229K |
| 92015 |
Determination of refractive state |
5,125 |
4,910 |
$211K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,662 |
6,306 |
$193K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,788 |
2,689 |
$181K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,245 |
1,193 |
$105K |
| V2020 |
Frames, purchases |
4,187 |
3,899 |
$69K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,640 |
2,510 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
487 |
471 |
$21K |
| 92002 |
|
267 |
264 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
469 |
446 |
$9K |