| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,667 |
2,252 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
127 |
$8K |
| 92015 |
Determination of refractive state |
571 |
563 |
$7K |
| V2020 |
Frames, purchases |
46 |
37 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
95 |
91 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
12 |
$827.32 |
| 92370 |
|
54 |
51 |
$613.15 |