| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
455 |
413 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
517 |
452 |
$15K |
| V2020 |
Frames, purchases |
495 |
423 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
120 |
113 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
370 |
321 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
237 |
207 |
$2K |
| 92015 |
Determination of refractive state |
840 |
765 |
$1K |
| V2760 |
Scratch resistant coating, per lens |
204 |
180 |
$312.37 |