| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
517 |
509 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
251 |
247 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
99 |
99 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
154 |
153 |
$2K |
| 92015 |
Determination of refractive state |
300 |
297 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$205.40 |