| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
301 |
289 |
$15K |
| 92015 |
Determination of refractive state |
958 |
875 |
$15K |
| V2020 |
Frames, purchases |
229 |
214 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
96 |
80 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
50 |
40 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
13 |
$827.73 |
| V2756 |
Eye glass case |
185 |
172 |
$206.31 |