| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
463 |
444 |
$10K |
| 92015 |
Determination of refractive state |
269 |
269 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
39 |
$2K |
| V2020 |
Frames, purchases |
548 |
528 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
557 |
536 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
151 |
145 |
$0.00 |
| 1000F |
|
28 |
28 |
$0.00 |
| 1036F |
|
48 |
48 |
$0.00 |