| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,027 |
996 |
$74K |
| 92015 |
Determination of refractive state |
2,773 |
2,575 |
$42K |
| V2020 |
Frames, purchases |
1,349 |
1,284 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
831 |
803 |
$30K |
| 92002 |
|
417 |
394 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
111 |
110 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
124 |
123 |
$4K |
| V2756 |
Eye glass case |
1,210 |
1,152 |
$1K |