| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
690 |
644 |
$51K |
| V2020 |
Frames, purchases |
895 |
845 |
$18K |
| 92015 |
Determination of refractive state |
883 |
843 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
403 |
364 |
$8K |
| 92002 |
|
202 |
189 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
427 |
405 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
108 |
104 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32 |
32 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
26 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
68 |
68 |
$1K |