| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,339 |
1,318 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
716 |
706 |
$15K |
| V2020 |
Frames, purchases |
901 |
887 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
485 |
480 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
53 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
135 |
128 |
$2K |