| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,052 |
1,031 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
407 |
399 |
$41K |
| V2020 |
Frames, purchases |
484 |
467 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
889 |
462 |
$23K |
| 92015 |
Determination of refractive state |
1,016 |
997 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
251 |
160 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
135 |
133 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
140 |
68 |
$0.00 |