| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,380 |
2,338 |
$119K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,044 |
1,948 |
$112K |
| V2020 |
Frames, purchases |
2,852 |
2,794 |
$105K |
| 92015 |
Determination of refractive state |
3,475 |
3,368 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
538 |
527 |
$34K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,713 |
1,670 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,407 |
1,380 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
249 |
231 |
$9K |
| V2756 |
Eye glass case |
2,817 |
2,762 |
$3K |
| 92341 |
|
29 |
29 |
$2K |
| 92002 |
|
39 |
39 |
$1K |