| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,372 |
1,304 |
$89K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
522 |
501 |
$45K |
| V2020 |
Frames, purchases |
1,782 |
1,563 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,444 |
1,349 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
871 |
724 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,312 |
1,145 |
$9K |
| 92015 |
Determination of refractive state |
1,951 |
1,840 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
182 |
168 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
573 |
551 |
$1K |