| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,522 |
1,480 |
$118K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,501 |
1,349 |
$79K |
| V2020 |
Frames, purchases |
1,575 |
1,472 |
$59K |
| 92015 |
Determination of refractive state |
2,304 |
2,244 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,242 |
1,172 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
302 |
275 |
$13K |
| V2755 |
U-v lens, per lens |
649 |
625 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
150 |
148 |
$11K |
| 92310 |
|
87 |
87 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
88 |
78 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
322 |
308 |
$0.00 |