| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
387 |
336 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
252 |
238 |
$15K |
| 92015 |
Determination of refractive state |
652 |
575 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
197 |
159 |
$6K |
| V2020 |
Frames, purchases |
424 |
364 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
227 |
203 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
180 |
158 |
$434.00 |
| V2756 |
Eye glass case |
393 |
335 |
$392.92 |