| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
885 |
879 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
757 |
753 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
210 |
209 |
$13K |
| 92015 |
Determination of refractive state |
708 |
707 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
207 |
206 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
103 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
281 |
279 |
$3K |