| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,650 |
3,591 |
$220K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,269 |
3,209 |
$187K |
| 92015 |
Determination of refractive state |
5,662 |
5,485 |
$94K |
| V2020 |
Frames, purchases |
2,585 |
2,532 |
$76K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,742 |
1,711 |
$59K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
950 |
927 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
151 |
147 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
173 |
165 |
$6K |
| V2756 |
Eye glass case |
3,755 |
3,682 |
$4K |