| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
722 |
667 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
924 |
815 |
$20K |
| V2020 |
Frames, purchases |
984 |
868 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
434 |
381 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
200 |
193 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
849 |
749 |
$13K |
| 92015 |
Determination of refractive state |
1,378 |
1,289 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
67 |
57 |
$2K |