| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
376 |
369 |
$8K |
| 92002 |
|
248 |
248 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
228 |
228 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
232 |
227 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
480 |
480 |
$5K |
| 92015 |
Determination of refractive state |
453 |
453 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
45 |
45 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
123 |
118 |
$832.00 |