| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
217 |
204 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
50 |
$5K |
| 92015 |
Determination of refractive state |
272 |
263 |
$4K |
| V2020 |
Frames, purchases |
205 |
192 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
58 |
55 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
89 |
86 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
31 |
26 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15 |
12 |
$137.00 |