| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
754 |
703 |
$53K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
354 |
330 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
185 |
162 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
558 |
514 |
$16K |
| 92015 |
Determination of refractive state |
963 |
902 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
241 |
223 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
98 |
81 |
$6K |