| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,018 |
2,913 |
$199K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,712 |
2,639 |
$180K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,262 |
1,222 |
$112K |
| 92370 |
|
385 |
361 |
$10K |
| 92341 |
|
107 |
103 |
$7K |
| 92015 |
Determination of refractive state |
177 |
167 |
$3K |
| V2020 |
Frames, purchases |
14 |
14 |
$700.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$270.00 |