| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,952 |
2,940 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,102 |
2,093 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
658 |
658 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,804 |
1,782 |
$17K |
| 92015 |
Determination of refractive state |
1,423 |
1,422 |
$16K |
| 92002 |
|
68 |
67 |
$3K |
| 92341 |
|
68 |
68 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
55 |
55 |
$663.37 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
23 |
23 |
$267.72 |