| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
955 |
941 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
717 |
682 |
$36K |
| 92015 |
Determination of refractive state |
1,847 |
1,799 |
$30K |
| V2020 |
Frames, purchases |
774 |
765 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
243 |
237 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
291 |
289 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
289 |
288 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
27 |
$1K |
| V2756 |
Eye glass case |
734 |
728 |
$805.94 |
| 92002 |
|
12 |
12 |
$455.16 |
| 3072F |
|
12 |
12 |
$0.00 |