| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,564 |
1,287 |
$41K |
| V2020 |
Frames, purchases |
1,353 |
1,086 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
832 |
641 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
104 |
100 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
283 |
190 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
171 |
164 |
$5K |
| 92002 |
|
42 |
42 |
$3K |