| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
798 |
674 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
249 |
226 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
142 |
136 |
$6K |
| V2020 |
Frames, purchases |
783 |
657 |
$949.08 |
| 92015 |
Determination of refractive state |
323 |
282 |
$240.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
259 |
192 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
34 |
24 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
28 |
$0.00 |
| 92342 |
|
16 |
15 |
$0.00 |