| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
182 |
177 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
74 |
73 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
74 |
71 |
$2K |
| V2020 |
Frames, purchases |
47 |
46 |
$300.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
13 |
$48.00 |
| 92015 |
Determination of refractive state |
49 |
46 |
$0.00 |