| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,308 |
2,189 |
$147K |
| V2020 |
Frames, purchases |
2,789 |
2,636 |
$84K |
| 92015 |
Determination of refractive state |
3,177 |
3,024 |
$52K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
742 |
730 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
724 |
674 |
$37K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,531 |
1,443 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,234 |
1,171 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
283 |
272 |
$21K |
| V2756 |
Eye glass case |
2,745 |
2,597 |
$3K |
| 92002 |
|
55 |
52 |
$3K |
| 92341 |
|
43 |
41 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
27 |
26 |
$567.91 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$564.40 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$193.95 |