| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
415 |
406 |
$32K |
| V2020 |
Frames, purchases |
540 |
532 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
281 |
274 |
$9K |
| 92015 |
Determination of refractive state |
532 |
511 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
64 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
244 |
239 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
116 |
115 |
$2K |
| 92341 |
|
14 |
14 |
$1K |
| V2756 |
Eye glass case |
511 |
502 |
$593.24 |
| 92002 |
|
12 |
12 |
$574.20 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$433.75 |