| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
320 |
308 |
$24K |
| V2020 |
Frames, purchases |
345 |
335 |
$13K |
| 92015 |
Determination of refractive state |
797 |
774 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
163 |
160 |
$6K |
| 92002 |
|
25 |
25 |
$997.45 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
82 |
82 |
$656.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$404.48 |