| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
891 |
862 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
494 |
480 |
$18K |
| V2020 |
Frames, purchases |
1,160 |
1,102 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
370 |
351 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
58 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
232 |
180 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
96 |
75 |
$1K |