| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,917 |
2,703 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
560 |
542 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
509 |
503 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
368 |
365 |
$5K |
| V2020 |
Frames, purchases |
507 |
495 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
135 |
131 |
$33.00 |