| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
778 |
741 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
612 |
568 |
$23K |
| 92015 |
Determination of refractive state |
1,324 |
1,273 |
$21K |
| V2020 |
Frames, purchases |
835 |
794 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
586 |
558 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
113 |
112 |
$7K |
| 92002 |
|
74 |
72 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
416 |
402 |
$1K |
| V2756 |
Eye glass case |
796 |
757 |
$866.54 |