| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,571 |
1,569 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
512 |
511 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,036 |
1,028 |
$18K |
| 92341 |
|
778 |
776 |
$17K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
196 |
196 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
395 |
395 |
$4K |
| 92015 |
Determination of refractive state |
129 |
129 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$347.66 |