| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,204 |
1,148 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
467 |
457 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
978 |
939 |
$39K |
| V2020 |
Frames, purchases |
1,144 |
906 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
664 |
597 |
$12K |
| 92015 |
Determination of refractive state |
343 |
333 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
601 |
506 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
365 |
359 |
$794.40 |