| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
660 |
614 |
$20K |
| 92250 |
|
802 |
713 |
$19K |
| V2020 |
Frames, purchases |
167 |
156 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
62 |
57 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
39 |
$4K |
| 92015 |
Determination of refractive state |
292 |
283 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
225 |
211 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
38 |
$691.86 |