| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
177 |
162 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
166 |
156 |
$6K |
| 92015 |
Determination of refractive state |
464 |
429 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
346 |
323 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
87 |
82 |
$5K |
| V2020 |
Frames, purchases |
291 |
273 |
$4K |