| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
277 |
271 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
106 |
106 |
$5K |
| 92015 |
Determination of refractive state |
211 |
211 |
$4K |
| V2020 |
Frames, purchases |
492 |
484 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
163 |
159 |
$234.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
36 |
$20.00 |