| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,441 |
1,159 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
79 |
78 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
67 |
66 |
$2K |
| 92015 |
Determination of refractive state |
314 |
307 |
$2K |
| V2020 |
Frames, purchases |
793 |
787 |
$15.87 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
780 |
774 |
$5.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
451 |
447 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
83 |
82 |
$0.00 |