| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
343 |
330 |
$19K |
| 92015 |
Determination of refractive state |
1,295 |
1,158 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
249 |
234 |
$11K |
| V2020 |
Frames, purchases |
529 |
504 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
90 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
36 |
$539.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
51 |
50 |
$470.00 |
| V2756 |
Eye glass case |
472 |
447 |
$396.61 |