| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
702 |
603 |
$23K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
492 |
453 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
491 |
434 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
77 |
75 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
44 |
31 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
64 |
53 |
$0.00 |